National Provider Identifier

Elizabeth Anne Koster, CCC SLP

Elizabeth Anne Koster, CCC SLP is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Canandaigua, NY and a listed phone number of (585) 394-8202.

NPI 1346526928Canandaigua, NYSpeech-Language Pathologist

Profile Overview

NPI
1346526928
Provider Type
Individual
Primary Specialty
Speech-Language Pathologist
Enumeration Date
October 27, 2011
Last Updated
October 27, 2011

Practice Location

  • 5540 Vardon Dr
  • Canandaigua, NY 14424-8866

Phone: (585) 394-8202

Specialties

  • Speech-Language Pathologist (235Z00000X)
Full Record
NPI
1346526928
Entity Type
Individual
Last Name
Koster
First Name
Elizabeth
Middle Name
Anne
Name Prefix
MS.
Credential
CCC SLP
Mailing Street Address
5540 Vardon Dr
Mailing City
Canandaigua
Mailing State
NY
Mailing ZIP Code
14424-8866
Mailing Country
US
Mailing Phone
(585) 394-8202
Practice Street Address
5540 Vardon Dr
Practice City
Canandaigua
Practice State
NY
Practice ZIP Code
14424-8866
Practice Country
US
Practice Phone
(585) 394-8202
Enumeration Date
October 27, 2011
Last Updated
October 27, 2011
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Speech-Language Pathologist (235Z00000X)