National Provider Identifier

Rochester Speech Language Pathology, PLLC

Rochester Speech Language Pathology, PLLC is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Rochester, NY and a listed phone number of (585) 355-7180.

NPI 1619556271Rochester, NYSpeech-Language Pathologist

Profile Overview

NPI
1619556271
Provider Type
Organization
Primary Specialty
Speech-Language Pathologist
Enumeration Date
April 02, 2021
Last Updated
November 17, 2021

Practice Location

  • 65 Bengal Ter
  • Rochester, NY 14610-2807

Phone: (585) 355-7180

Specialties

  • Speech-Language Pathologist (235Z00000X)
Full Record
NPI
1619556271
Entity Type
Organization
EIN
<UNAVAIL>
Organization Name
Rochester Speech Language Pathology, PLLC
Mailing Street Address
65 Bengal Ter
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14610-2807
Mailing Country
US
Mailing Phone
(585) 355-7180
Practice Street Address
65 Bengal Ter
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14610-2807
Practice Country
US
Practice Phone
(585) 355-7180
Enumeration Date
April 02, 2021
Last Updated
November 17, 2021
Authorized Official Last Name
Wegman
Authorized Official First Name
Emily
Authorized Official Middle Name
Leanne
Authorized Official Title
Speech Language Pathologist
Authorized Official Phone
(585) 355-7180
Organization Subpart
No
Authorized Official Credential Text
M.S. CCC-SLP
Taxonomy Group 1
193400000X Single Specialty Group
Certification Date
November 17, 2021
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Speech-Language Pathologist (235Z00000X)