National Provider Identifier

Patricia Ann Powenski, CCC/SLP

Patricia Ann Powenski, CCC/SLP is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Irving, NY and a listed phone number of (716) 934-9629.

NPI 1619126828Irving, NYSpeech-Language Pathologist

Profile Overview

NPI
1619126828
Provider Type
Individual
Primary Specialty
Speech-Language Pathologist
Enumeration Date
September 11, 2008
Last Updated
September 11, 2008

Practice Location

  • 12916 Baker St
  • Irving, NY 14081-9672

Phone: (716) 934-9629

Specialties

  • Speech-Language Pathologist (235Z00000X)
Full Record
NPI
1619126828
Entity Type
Individual
Last Name
Powenski
First Name
Patricia
Middle Name
Ann
Name Prefix
Mrs.
Credential
CCC/SLP
Provider Other Last Name
Heine
Provider Other First Name
Patricia
Provider Other Middle Name
Ann
Provider Other Name Prefix Text
MS.
Provider Other Credential Text
CCC/SLP
Provider Other Last Name Type Code
1
Mailing Street Address
12916 Baker St
Mailing City
Irving
Mailing State
NY
Mailing ZIP Code
14081-9672
Mailing Country
US
Mailing Phone
(716) 934-9629
Practice Street Address
12916 Baker St
Practice City
Irving
Practice State
NY
Practice ZIP Code
14081-9672
Practice Country
US
Practice Phone
(716) 934-9629
Enumeration Date
September 11, 2008
Last Updated
September 11, 2008
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Speech-Language Pathologist (235Z00000X)