National Provider Identifier
Colleen A Havranek, MA, CCC-SLP
Colleen A Havranek, MA, CCC-SLP is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Macedon, NY and a listed phone number of (315) 524-1170.
Profile Overview
- NPI
- 1417224213
- Provider Type
- Individual
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- November 22, 2011
- Last Updated
- November 22, 2011
Practice Location
- 3290 Eagles Roost Lane
- Macedon, NY 14502-8888
Phone: (315) 524-1170
Mailing Address
- 3290 Eagles Roost Ln
- Macedon, NY 14502-8888
Specialties
- Speech-Language Pathologist (235Z00000X)
Full Record
- NPI
- 1417224213
- Entity Type
- Individual
- Last Name
- Havranek
- First Name
- Colleen
- Middle Name
- A
- Name Prefix
- Mrs.
- Credential
- MA, CCC-SLP
- Mailing Street Address
- 3290 Eagles Roost Ln
- Mailing City
- Macedon
- Mailing State
- NY
- Mailing ZIP Code
- 14502-8888
- Mailing Country
- US
- Mailing Phone
- (315) 524-1170
- Mailing Fax
- (315) 524-1049
- Practice Street Address
- 3290 Eagles Roost Lane
- Practice City
- Macedon
- Practice State
- NY
- Practice ZIP Code
- 14502-8888
- Practice Country
- US
- Practice Phone
- (315) 524-1170
- Practice Fax
- (315) 524-1049
- Enumeration Date
- November 22, 2011
- Last Updated
- November 22, 2011
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Speech-Language Pathologist (235Z00000X)