National Provider Identifier
Marilyn K Aiwanse, MS, CCC-SLP
Marilyn K Aiwanse, MS, CCC-SLP is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Fairport, NY and a listed phone number of (585) 249-7094.
Profile Overview
- NPI
- 1356079545
- Provider Type
- Individual
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- August 15, 2022
- Last Updated
- May 06, 2025
Practice Location
- 41 Oconnor RD
- Fairport, NY 14450-1327
Phone: (585) 249-7094
Specialties
- Speech-Language Pathologist (235Z00000X)
Endpoints
- mbuck@daystarkids.org
Direct Messaging Address | Daystar Kids | Rochester, NY 14618
Email
Full Record
- NPI
- 1356079545
- Entity Type
- Individual
- Last Name
- Aiwanse
- First Name
- Marilyn
- Middle Name
- K
- Credential
- MS, CCC-SLP
- Provider Other Last Name
- Buck
- Provider Other First Name
- Marilyn
- Provider Other Middle Name
- K
- Provider Other Credential Text
- MS, CCC-SLP
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 41 Oconnor RD
- Mailing City
- Fairport
- Mailing State
- NY
- Mailing ZIP Code
- 14450-1327
- Mailing Country
- US
- Mailing Phone
- (585) 249-7094
- Practice Street Address
- 41 Oconnor RD
- Practice City
- Fairport
- Practice State
- NY
- Practice ZIP Code
- 14450-1327
- Practice Country
- US
- Practice Phone
- (585) 249-7094
- Enumeration Date
- August 15, 2022
- Last Updated
- May 06, 2025
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- May 06, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Speech-Language Pathologist (235Z00000X)