National Provider Identifier

Ginamarie Divita

Ginamarie Divita is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Depew, NY and a listed phone number of (716) 901-8759.

NPI 1427587468Depew, NYSpeech-Language Pathologist

Profile Overview

NPI
1427587468
Provider Type
Individual
Primary Specialty
Speech-Language Pathologist
Enumeration Date
June 05, 2017
Last Updated
June 05, 2017

Practice Location

  • 2049 George Urban Blvd
  • Depew, NY 14043-1823

Phone: (716) 901-8759

Specialties

  • Speech-Language Pathologist (235Z00000X)
Full Record
NPI
1427587468
Entity Type
Individual
Last Name
Divita
First Name
Ginamarie
Mailing Street Address
2049 George Urban Blvd
Mailing City
Depew
Mailing State
NY
Mailing ZIP Code
14043-1823
Mailing Country
US
Practice Street Address
2049 George Urban Blvd
Practice City
Depew
Practice State
NY
Practice ZIP Code
14043-1823
Practice Country
US
Practice Phone
(716) 901-8759
Enumeration Date
June 05, 2017
Last Updated
June 05, 2017
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Speech-Language Pathologist (235Z00000X)