National Provider Identifier

Shana Kirst

Shana Kirst is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Buffalo, NY and a listed phone number of (716) 828-9560.

NPI 1346538675Buffalo, NYSpeech-Language Pathologist

Profile Overview

NPI
1346538675
Provider Type
Individual
Primary Specialty
Speech-Language Pathologist
Enumeration Date
July 20, 2011
Last Updated
June 04, 2015

Practice Location

  • 51 St Johns Parkside
  • Buffalo, NY 14210-2515

Phone: (716) 828-9560

Mailing Address

  • 868 Cleveland Dr
  • Cheektowaga, NY 14225-1138

Specialties

  • Speech-Language Pathologist (235Z00000X)
Full Record
NPI
1346538675
Entity Type
Individual
Last Name
Kirst
First Name
Shana
Provider Other Last Name
Siler
Provider Other First Name
Shana
Provider Other Last Name Type Code
1
Mailing Street Address
868 Cleveland Dr
Mailing City
Cheektowaga
Mailing State
NY
Mailing ZIP Code
14225-1138
Mailing Country
US
Mailing Phone
(716) 998-6107
Practice Street Address
51 St Johns Parkside
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14210-2515
Practice Country
US
Practice Phone
(716) 828-9560
Practice Fax
(716) 828-9460
Enumeration Date
July 20, 2011
Last Updated
June 04, 2015
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Speech-Language Pathologist (235Z00000X)