National Provider Identifier

Carol Garvin-Lease

Carol Garvin-Lease is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Buffalo, NY and a listed phone number of (716) 926-1750.

NPI 1104193572Buffalo, NYSpeech-Language Pathologist

Profile Overview

NPI
1104193572
Provider Type
Individual
Primary Specialty
Speech-Language Pathologist
Enumeration Date
November 29, 2011
Last Updated
November 29, 2011

Practice Location

  • 3780 S Park Ave
  • Buffalo, NY 14219-1805

Phone: (716) 926-1750

Mailing Address

  • 4339 Beetow Drive
  • Hamburg, NY 14075

Specialties

  • Speech-Language Pathologist (235Z00000X)
Full Record
NPI
1104193572
Entity Type
Individual
Last Name
Garvin-Lease
First Name
Carol
Mailing Street Address
4339 Beetow Drive
Mailing City
Hamburg
Mailing State
NY
Mailing ZIP Code
14075
Mailing Country
US
Practice Street Address
3780 S Park Ave
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14219-1805
Practice Country
US
Practice Phone
(716) 926-1750
Enumeration Date
November 29, 2011
Last Updated
November 29, 2011
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Speech-Language Pathologist (235Z00000X)
Other Identifiers
01390945 (NY)