National Provider Identifier

Allissa Wendell, MS CCC-SLP

Allissa Wendell, MS CCC-SLP is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Fairport, NY and a listed phone number of (585) 967-4134.

NPI 1114321452Fairport, NYSpeech-Language Pathologist

Profile Overview

NPI
1114321452
Provider Type
Individual
Primary Specialty
Speech-Language Pathologist
Enumeration Date
October 15, 2014
Last Updated
October 15, 2014

Practice Location

  • 303 Jefferson Ave
  • Fairport, NY 14450-2313

Phone: (585) 967-4134

Specialties

  • Speech-Language Pathologist (235Z00000X)
Full Record
NPI
1114321452
Entity Type
Individual
Last Name
Wendell
First Name
Allissa
Credential
MS CCC-SLP
Mailing Street Address
303 Jefferson Ave
Mailing City
Fairport
Mailing State
NY
Mailing ZIP Code
14450-2313
Mailing Country
US
Practice Street Address
303 Jefferson Ave
Practice City
Fairport
Practice State
NY
Practice ZIP Code
14450-2313
Practice Country
US
Practice Phone
(585) 967-4134
Enumeration Date
October 15, 2014
Last Updated
October 15, 2014
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Speech-Language Pathologist (235Z00000X)