National Provider Identifier

Dessarae A'Shell Lenz, M.S.SLP-CCC

Dessarae A'Shell Lenz, M.S.SLP-CCC is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Buffalo, NY and a listed phone number of (716) 885-8318.

NPI 1386767408Buffalo, NYSpeech-Language Pathologist

Profile Overview

NPI
1386767408
Provider Type
Individual
Primary Specialty
Speech-Language Pathologist
Enumeration Date
April 06, 2007
Last Updated
July 08, 2007

Practice Location

  • 50 E North St
  • Buffalo, NY 14203-1002

Phone: (716) 885-8318

Mailing Address

  • 338 Elmwood Ave Apt 3
  • Buffalo, NY 14222-2228

Specialties

  • Speech-Language Pathologist (235Z00000X)
Full Record
NPI
1386767408
Entity Type
Individual
Last Name
Lenz
First Name
Dessarae
Middle Name
A'Shell
Name Prefix
Miss
Credential
M.S.SLP-CCC
Provider Other Last Name
Lenz
Provider Other First Name
Dessarae
Provider Other Middle Name
A'Shell
Provider Other Name Prefix Text
Miss
Provider Other Credential Text
M.S.SLP-CCC
Provider Other Last Name Type Code
5
Mailing Street Address
338 Elmwood Ave Apt 3
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14222-2228
Mailing Country
US
Mailing Phone
(716) 397-8362
Practice Street Address
50 E North St
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14203-1002
Practice Country
US
Practice Phone
(716) 885-8318
Practice Fax
(716) 885-0229
Enumeration Date
April 06, 2007
Last Updated
July 08, 2007
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Speech-Language Pathologist (235Z00000X)