National Provider Identifier

Christine Marie Quermback, MS CCC/L-SLP TSSLD

Christine Marie Quermback, MS CCC/L-SLP TSSLD is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Lackawanna, NY and a listed phone number of (716) 822-4781.

NPI 1336430933Lackawanna, NYSpeech-Language Pathologist

Profile Overview

NPI
1336430933
Provider Type
Individual
Primary Specialty
Speech-Language Pathologist
Enumeration Date
April 29, 2011
Last Updated
April 29, 2011

Practice Location

  • 697 Ridge RD
  • Lackawanna, NY 14218-1500

Phone: (716) 822-4781

Specialties

  • Speech-Language Pathologist (235Z00000X)
Full Record
NPI
1336430933
Entity Type
Individual
Last Name
Quermback
First Name
Christine
Middle Name
Marie
Credential
MS CCC/L-SLP TSSLD
Mailing Street Address
697 Ridge RD
Mailing City
Lackawanna
Mailing State
NY
Mailing ZIP Code
14218-1500
Mailing Country
US
Mailing Phone
(716) 822-4781
Mailing Fax
(716) 825-5765
Practice Street Address
697 Ridge RD
Practice City
Lackawanna
Practice State
NY
Practice ZIP Code
14218-1500
Practice Country
US
Practice Phone
(716) 822-4781
Practice Fax
(716) 825-5765
Enumeration Date
April 29, 2011
Last Updated
April 29, 2011
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Speech-Language Pathologist (235Z00000X)