National Provider Identifier

Lisa Ruestow, M.A., CCC-SLP

Lisa Ruestow, M.A., CCC-SLP is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Hilton, NY and a listed phone number of (716) 341-3059.

NPI 1417308180Hilton, NYSpeech-Language Pathologist

Profile Overview

NPI
1417308180
Provider Type
Individual
Primary Specialty
Speech-Language Pathologist
Enumeration Date
June 23, 2016
Last Updated
June 23, 2016

Practice Location

  • 845 Lawrence RD
  • Hilton, NY 14468-9198

Phone: (716) 341-3059

Specialties

  • Speech-Language Pathologist (235Z00000X)
Full Record
NPI
1417308180
Entity Type
Individual
Last Name
Ruestow
First Name
Lisa
Credential
M.A., CCC-SLP
Mailing Street Address
845 Lawrence RD
Mailing City
Hilton
Mailing State
NY
Mailing ZIP Code
14468-9198
Mailing Country
US
Mailing Phone
(716) 341-3059
Practice Street Address
845 Lawrence RD
Practice City
Hilton
Practice State
NY
Practice ZIP Code
14468-9198
Practice Country
US
Practice Phone
(716) 341-3059
Enumeration Date
June 23, 2016
Last Updated
June 23, 2016
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Speech-Language Pathologist (235Z00000X)