National Provider Identifier

Emily Ruth Mongillo, MS, CCC-SLP/L

Emily Ruth Mongillo, MS, CCC-SLP/L is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Springville, NY and a listed phone number of (716) 592-9331.

NPI 1609384585Springville, NYSpeech-Language Pathologist

Profile Overview

NPI
1609384585
Provider Type
Individual
Primary Specialty
Speech-Language Pathologist
Enumeration Date
January 13, 2018
Last Updated
January 13, 2018

Practice Location

  • 393 North St
  • Springville, NY 14141-9652

Phone: (716) 592-9331

Specialties

  • Speech-Language Pathologist (235Z00000X)
Full Record
NPI
1609384585
Entity Type
Individual
Last Name
Mongillo
First Name
Emily
Middle Name
Ruth
Credential
MS, CCC-SLP/L
Mailing Street Address
393 North St
Mailing City
Springville
Mailing State
NY
Mailing ZIP Code
14141-9652
Mailing Country
US
Mailing Phone
(716) 592-9331
Practice Street Address
393 North St
Practice City
Springville
Practice State
NY
Practice ZIP Code
14141-9652
Practice Country
US
Practice Phone
(716) 592-9331
Enumeration Date
January 13, 2018
Last Updated
January 13, 2018
Sex
Female
Sole Proprietor
Yes
Taxonomy Group 1
193400000X Single Specialty Group
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Speech-Language Pathologist (235Z00000X)