National Provider Identifier

Richard D. Avella, SLP

Richard D. Avella, SLP is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Kenmore, NY and a listed phone number of (716) 876-2495.

NPI 1174771299Kenmore, NYSpeech-Language Pathologist

Profile Overview

NPI
1174771299
Provider Type
Individual
Primary Specialty
Speech-Language Pathologist
Enumeration Date
September 03, 2008
Last Updated
September 03, 2008

Practice Location

  • 60 Nassau Ave
  • Kenmore, NY 14217-2120

Phone: (716) 876-2495

Mailing Address

  • 60 Nassau Avenue
  • Kenmore, NY 14217-2120

Specialties

  • Speech-Language Pathologist (235Z00000X)
Full Record
NPI
1174771299
Entity Type
Individual
Last Name
Avella
First Name
Richard
Middle Name
D.
Name Prefix
Mr.
Credential
SLP
Mailing Street Address
60 Nassau Avenue
Mailing City
Kenmore
Mailing State
NY
Mailing ZIP Code
14217-2120
Mailing Country
US
Mailing Phone
(716) 876-2495
Practice Street Address
60 Nassau Ave
Practice City
Kenmore
Practice State
NY
Practice ZIP Code
14217-2120
Practice Country
US
Practice Phone
(716) 876-2495
Enumeration Date
September 03, 2008
Last Updated
September 03, 2008
Sex
Male
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Speech-Language Pathologist (235Z00000X)
Other Identifiers
00485367 (Asha/Ccc/Slp), 002192-1 (NY, New York State License, Speech Pathologist)