National Provider Identifier

Paul A. Imbert, MA, CCC-SLP

Paul A. Imbert, MA, CCC-SLP is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Kenmore, NY and a listed phone number of (716) 877-1230.

NPI 1376906362Kenmore, NYSpeech-Language Pathologist

Profile Overview

NPI
1376906362
Provider Type
Individual
Primary Specialty
Speech-Language Pathologist
Enumeration Date
March 29, 2016
Last Updated
March 29, 2016

Practice Location

  • 86 Chatsworth Ave
  • Apartment 4
  • Kenmore, NY 14217-1446

Phone: (716) 877-1230

Specialties

  • Speech-Language Pathologist (235Z00000X)
Full Record
NPI
1376906362
Entity Type
Individual
Last Name
Imbert
First Name
Paul
Middle Name
A.
Name Prefix
Mr.
Credential
MA, CCC-SLP
Mailing Street Address
86 Chatsworth Ave
Mailing Address Line 2
Apartment 4
Mailing City
Kenmore
Mailing State
NY
Mailing ZIP Code
14217-1446
Mailing Country
US
Mailing Phone
(716) 877-1230
Practice Street Address
86 Chatsworth Ave
Practice Address Line 2
Apartment 4
Practice City
Kenmore
Practice State
NY
Practice ZIP Code
14217-1446
Practice Country
US
Practice Phone
(716) 877-1230
Enumeration Date
March 29, 2016
Last Updated
March 29, 2016
Sex
Male
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Speech-Language Pathologist (235Z00000X)