National Provider Identifier

Ellen Healy Mogavero, MS, CCC/SLP

Ellen Healy Mogavero, MS, CCC/SLP is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Orchard Park, NY and a listed phone number of (716) 662-4800.

NPI 1407011653Orchard Park, NYSpeech-Language Pathologist

Profile Overview

NPI
1407011653
Provider Type
Individual
Primary Specialty
Speech-Language Pathologist
Enumeration Date
July 26, 2008
Last Updated
July 26, 2008

Practice Location

  • 6167 W Quaker St
  • Orchard Park, NY 14127-2640

Phone: (716) 662-4800

Mailing Address

  • 678 Potomac Ave
  • Buffalo, NY 14222-1215

Specialties

  • Speech-Language Pathologist (235Z00000X)
Full Record
NPI
1407011653
Entity Type
Individual
Last Name
Mogavero
First Name
Ellen
Middle Name
Healy
Name Prefix
Miss
Credential
MS, CCC/SLP
Mailing Street Address
678 Potomac Ave
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14222-1215
Mailing Country
US
Mailing Phone
(716) 228-8594
Mailing Fax
(716) 662-5700
Practice Street Address
6167 W Quaker St
Practice City
Orchard Park
Practice State
NY
Practice ZIP Code
14127-2640
Practice Country
US
Practice Phone
(716) 662-4800
Practice Fax
(716) 662-5700
Enumeration Date
July 26, 2008
Last Updated
July 26, 2008
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Speech-Language Pathologist (235Z00000X)