National Provider Identifier

Celeste P Wise, M.ED/CCC-SLP

Celeste P Wise, M.ED/CCC-SLP is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Cheektowaga, NY and a listed phone number of (716) 505-5700.

NPI 1144521352Cheektowaga, NYSpeech-Language Pathologist

Profile Overview

NPI
1144521352
Provider Type
Individual
Primary Specialty
Speech-Language Pathologist
Enumeration Date
November 04, 2010
Last Updated
May 16, 2011

Practice Location

  • 4635 Union Road
  • Aspire Center For Learning
  • Cheektowaga, NY 14225

Phone: (716) 505-5700

Specialties

  • Speech-Language Pathologist (235Z00000X)
  • Speech-Language Pathologist (235Z00000X)
Full Record
NPI
1144521352
Entity Type
Individual
Last Name
Wise
First Name
Celeste
Middle Name
P
Name Prefix
MS.
Credential
M.ED/CCC-SLP
Provider Other Last Name
Pelletier
Provider Other First Name
Celeste
Provider Other Middle Name
P
Provider Other Name Prefix Text
MS.
Provider Other Credential Text
M.ED/CCC-SLP
Provider Other Last Name Type Code
1
Mailing Street Address
4635 Union Road
Mailing Address Line 2
Aspire Center For Learning
Mailing City
Cheektowaga
Mailing State
NY
Mailing ZIP Code
14225
Mailing Country
US
Mailing Phone
(716) 505-5700
Practice Street Address
4635 Union Road
Practice Address Line 2
Aspire Center For Learning
Practice City
Cheektowaga
Practice State
NY
Practice ZIP Code
14225
Practice Country
US
Practice Phone
(716) 505-5700
Enumeration Date
November 04, 2010
Last Updated
May 16, 2011
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Speech-Language Pathologist (235Z00000X), Speech-Language Pathologist (235Z00000X)