National Provider Identifier
Shannon Wilk
Shannon Wilk is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Amherst, NY and a listed phone number of (716) 204-5925.
Profile Overview
- NPI
- 1407421654
- Provider Type
- Individual
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- May 20, 2021
- Last Updated
- May 20, 2021
Practice Location
- 331 Alberta Dr Ste 110
- Amherst, NY 14226-1813
Phone: (716) 204-5925
Mailing Address
- 85 Coriander Ct
- East Amherst, NY 14051-1265
Specialties
- Speech-Language Pathologist (235Z00000X)
Full Record
- NPI
- 1407421654
- Entity Type
- Individual
- Last Name
- Wilk
- First Name
- Shannon
- Mailing Street Address
- 85 Coriander Ct
- Mailing City
- East Amherst
- Mailing State
- NY
- Mailing ZIP Code
- 14051-1265
- Mailing Country
- US
- Mailing Phone
- (716) 515-8931
- Practice Street Address
- 331 Alberta Dr Ste 110
- Practice City
- Amherst
- Practice State
- NY
- Practice ZIP Code
- 14226-1813
- Practice Country
- US
- Practice Phone
- (716) 204-5925
- Enumeration Date
- May 20, 2021
- Last Updated
- May 20, 2021
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- May 20, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Speech-Language Pathologist (235Z00000X)