National Provider Identifier
Anna Elizabeth Domiano, MS, CCC-SLP
Anna Elizabeth Domiano, MS, CCC-SLP is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Rochester, NY and a listed phone number of (585) 966-2000.
Profile Overview
- NPI
- 1164038881
- Provider Type
- Individual
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- September 17, 2020
- Last Updated
- October 15, 2024
Practice Location
- 750 Maiden Ln
- Rochester, NY 14615-1230
Phone: (585) 966-2000
Mailing Address
- 170 Canal RD Apt 9
- Spencerport, NY 14559-1270
Specialties
- Speech-Language Pathologist (235Z00000X)
- Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
- NPI
- 1164038881
- Entity Type
- Individual
- Last Name
- Domiano
- First Name
- Anna
- Middle Name
- Elizabeth
- Credential
- MS, CCC-SLP
- Mailing Street Address
- 170 Canal RD Apt 9
- Mailing City
- Spencerport
- Mailing State
- NY
- Mailing ZIP Code
- 14559-1270
- Mailing Country
- US
- Mailing Phone
- (585) 200-2247
- Practice Street Address
- 750 Maiden Ln
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14615-1230
- Practice Country
- US
- Practice Phone
- (585) 966-2000
- Enumeration Date
- September 17, 2020
- Last Updated
- October 15, 2024
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- October 15, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Speech-Language Pathologist (235Z00000X), Student in an Organized Health Care Education/Training Program (390200000X)