National Provider Identifier

Laurie Aileen Streebel, MS, CCC/SLP NYS LIC

Laurie Aileen Streebel, MS, CCC/SLP NYS LIC is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Bowmansville, NY and a listed phone number of (716) 783-3160.

NPI 1285937177Bowmansville, NYSpeech-Language Pathologist

Profile Overview

NPI
1285937177
Provider Type
Individual
Primary Specialty
Speech-Language Pathologist
Enumeration Date
December 15, 2010
Last Updated
December 15, 2010

Practice Location

  • 5360 Genesee St
  • Bowmansville, NY 14026-1044

Phone: (716) 783-3160

Mailing Address

  • 99 Buckeye RD
  • Amherst, NY 14226-2307

Specialties

  • Speech-Language Pathologist (235Z00000X)
Full Record
NPI
1285937177
Entity Type
Individual
Last Name
Streebel
First Name
Laurie
Middle Name
Aileen
Name Prefix
Mrs.
Credential
MS, CCC/SLP NYS LIC
Mailing Street Address
99 Buckeye RD
Mailing City
Amherst
Mailing State
NY
Mailing ZIP Code
14226-2307
Mailing Country
US
Mailing Phone
(716) 832-0147
Practice Street Address
5360 Genesee St
Practice City
Bowmansville
Practice State
NY
Practice ZIP Code
14026-1044
Practice Country
US
Practice Phone
(716) 783-3160
Enumeration Date
December 15, 2010
Last Updated
December 15, 2010
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Speech-Language Pathologist (235Z00000X)
Other Identifiers
00170340 (NY, American Speech-Hearing Assoc. Clinical Competence), 004602-1 (NY, New York State License Speech-Language Pathologist)