National Provider Identifier
Holly Marie Tedesco, CCC-SLP, NYS LIC
Holly Marie Tedesco, CCC-SLP, NYS LIC 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.
Profile Overview
- NPI
- 1407032733
- Provider Type
- Individual
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- January 16, 2008
- Last Updated
- July 17, 2009
Practice Location
- 6167 W Quaker St
- Orchard Park, NY 14127-2640
Phone: (716) 662-4800
Mailing Address
- 5403 Armor Duells RD
- Orchard Park, NY 14127-3143
Specialties
- Speech-Language Pathologist (235Z00000X)
Full Record
- NPI
- 1407032733
- Entity Type
- Individual
- Last Name
- Tedesco
- First Name
- Holly
- Middle Name
- Marie
- Name Prefix
- Mrs.
- Credential
- CCC-SLP, NYS LIC
- Mailing Street Address
- 5403 Armor Duells RD
- Mailing City
- Orchard Park
- Mailing State
- NY
- Mailing ZIP Code
- 14127-3143
- Mailing Country
- US
- Mailing Phone
- (716) 649-0448
- 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
- January 16, 2008
- Last Updated
- July 17, 2009
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Speech-Language Pathologist (235Z00000X)