National Provider Identifier

Stacie Wolanin

Stacie Wolanin is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Williamsville, NY and a listed phone number of (716) 580-3976.

NPI 1609286517Williamsville, NYSpeech-Language Pathologist

Profile Overview

NPI
1609286517
Provider Type
Individual
Primary Specialty
Speech-Language Pathologist
Enumeration Date
April 30, 2014
Last Updated
December 18, 2017

Practice Location

  • 5544 Main St.
  • Williamsville, NY 14221

Phone: (716) 580-3976

Specialties

  • Speech-Language Pathologist (235Z00000X)
  • Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
NPI
1609286517
Entity Type
Individual
Last Name
Wolanin
First Name
Stacie
Provider Other Last Name
Mertowski
Provider Other First Name
Stacie
Provider Other Last Name Type Code
1
Mailing Street Address
5544 Main St.
Mailing City
Williamsville
Mailing State
NY
Mailing ZIP Code
14221
Mailing Country
US
Mailing Phone
(716) 580-3976
Practice Street Address
5544 Main St.
Practice City
Williamsville
Practice State
NY
Practice ZIP Code
14221
Practice Country
US
Practice Phone
(716) 580-3976
Enumeration Date
April 30, 2014
Last Updated
December 18, 2017
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Speech-Language Pathologist (235Z00000X), Student in an Organized Health Care Education/Training Program (390200000X)