National Provider Identifier
Keri A Mack
Keri A Mack is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Hamburg, NY and a listed phone number of (716) 523-0790.
Profile Overview
- NPI
- 1205120912
- Provider Type
- Individual
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- May 31, 2011
- Last Updated
- July 16, 2020
Practice Location
- 5419 Bridlewood Ln
- Hamburg, NY 14075-3659
Phone: (716) 523-0790
Specialties
- Speech-Language Pathologist (235Z00000X)
Full Record
- NPI
- 1205120912
- Entity Type
- Individual
- Last Name
- Mack
- First Name
- Keri
- Middle Name
- A
- Name Prefix
- Mrs.
- Mailing Street Address
- 5419 Bridlewood Ln
- Mailing City
- Hamburg
- Mailing State
- NY
- Mailing ZIP Code
- 14075-3659
- Mailing Country
- US
- Mailing Phone
- (716) 523-0790
- Practice Street Address
- 5419 Bridlewood Ln
- Practice City
- Hamburg
- Practice State
- NY
- Practice ZIP Code
- 14075-3659
- Practice Country
- US
- Practice Phone
- (716) 523-0790
- Enumeration Date
- May 31, 2011
- Last Updated
- July 16, 2020
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- July 16, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Speech-Language Pathologist (235Z00000X)