National Provider Identifier
Heather Kaczor, CCC-SLP
Heather Kaczor, CCC-SLP is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Forestville, NY and a listed phone number of (716) 965-2742.
Profile Overview
- NPI
- 1457669350
- Provider Type
- Individual
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- September 14, 2010
- Last Updated
- September 07, 2017
Practice Location
- 12 Water St
- Forestville, NY 14062-9608
Phone: (716) 965-2742
Mailing Address
- 10567 Old Lake Shore RD
- Irving, NY 14081-9554
Specialties
- Speech-Language Pathologist (235Z00000X)
Full Record
- NPI
- 1457669350
- Entity Type
- Individual
- Last Name
- Kaczor
- First Name
- Heather
- Name Prefix
- Mrs.
- Credential
- CCC-SLP
- Provider Other Last Name
- Van Slycke
- Provider Other First Name
- Heather
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 10567 Old Lake Shore RD
- Mailing City
- Irving
- Mailing State
- NY
- Mailing ZIP Code
- 14081-9554
- Mailing Country
- US
- Mailing Phone
- (716) 207-1579
- Practice Street Address
- 12 Water St
- Practice City
- Forestville
- Practice State
- NY
- Practice ZIP Code
- 14062-9608
- Practice Country
- US
- Practice Phone
- (716) 965-2742
- Practice Fax
- (716) 965-2786
- Enumeration Date
- September 14, 2010
- Last Updated
- September 07, 2017
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Speech-Language Pathologist (235Z00000X)