National Provider Identifier
Michelle Therese Dietrick
Michelle Therese Dietrick is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Buffalo, NY and a listed phone number of (716) 885-8318.
Profile Overview
- NPI
- 1518218288
- Provider Type
- Individual
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- September 21, 2012
- Last Updated
- January 04, 2016
Practice Location
- 50 E North St
- Buffalo, NY 14203-1002
Phone: (716) 885-8318
Mailing Address
- 220 Anderson Pl Uppr
- Buffalo, NY 14222-1804
Specialties
- Speech-Language Pathologist (235Z00000X)
Full Record
- NPI
- 1518218288
- Entity Type
- Individual
- Last Name
- Dietrick
- First Name
- Michelle
- Middle Name
- Therese
- Mailing Street Address
- 220 Anderson Pl Uppr
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14222-1804
- Mailing Country
- US
- Practice Street Address
- 50 E North St
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14203-1002
- Practice Country
- US
- Practice Phone
- (716) 885-8318
- Enumeration Date
- September 21, 2012
- Last Updated
- January 04, 2016
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Speech-Language Pathologist (235Z00000X)