National Provider Identifier

Sandra Ann Bowersox, SLP

Sandra Ann Bowersox, SLP is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Lackawanna, NY and a listed phone number of (716) 822-4781.

NPI 1396972543Lackawanna, NYSpeech-Language Pathologist

Profile Overview

NPI
1396972543
Provider Type
Individual
Primary Specialty
Speech-Language Pathologist
Enumeration Date
June 15, 2009
Last Updated
June 15, 2009

Practice Location

  • 1025 Ridge RD
  • Lackawanna, NY 14218-1755

Phone: (716) 822-4781

Mailing Address

  • 486 Hillside Ave
  • Orchard Park, NY 14127-1020

Specialties

  • Speech-Language Pathologist (235Z00000X)
Full Record
NPI
1396972543
Entity Type
Individual
Last Name
Bowersox
First Name
Sandra
Middle Name
Ann
Credential
SLP
Provider Other Last Name
Stevens
Provider Other First Name
Sandra
Provider Other Middle Name
Ann
Provider Other Credential Text
SLP
Provider Other Last Name Type Code
1
Mailing Street Address
486 Hillside Ave
Mailing City
Orchard Park
Mailing State
NY
Mailing ZIP Code
14127-1020
Mailing Country
US
Mailing Phone
(716) 880-4791
Practice Street Address
1025 Ridge RD
Practice City
Lackawanna
Practice State
NY
Practice ZIP Code
14218-1755
Practice Country
US
Practice Phone
(716) 822-4781
Practice Fax
(716) 825-5765
Enumeration Date
June 15, 2009
Last Updated
June 15, 2009
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Speech-Language Pathologist (235Z00000X)