National Provider Identifier
Carly Judith Vandegriff, MA
Carly Judith Vandegriff, MA is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Rochester, NY and a listed phone number of (585) 271-0761.
Profile Overview
- NPI
- 1366967952
- Provider Type
- Individual
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- August 04, 2017
- Last Updated
- October 19, 2020
Practice Location
- 1000 Elmwood Ave Ste 100
- Rochester, NY 14620-3042
Phone: (585) 271-0761
Mailing Address
- 33 Ganado RD
- Rochester, NY 14617-5609
Specialties
- Speech-Language Pathologist (235Z00000X)
Full Record
- NPI
- 1366967952
- Entity Type
- Individual
- Last Name
- Vandegriff
- First Name
- Carly
- Middle Name
- Judith
- Credential
- MA
- Mailing Street Address
- 33 Ganado RD
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14617-5609
- Mailing Country
- US
- Practice Street Address
- 1000 Elmwood Ave Ste 100
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14620-3042
- Practice Country
- US
- Practice Phone
- (585) 271-0761
- Enumeration Date
- August 04, 2017
- Last Updated
- October 19, 2020
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- October 19, 2020
- Taxonomies
- Speech-Language Pathologist (235Z00000X)