National Provider Identifier
Raquel Ayn Stark, M.A., CCC-SLP
Raquel Ayn Stark, M.A., CCC-SLP is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Batavia, NY and a listed phone number of (585) 343-1840.
Profile Overview
- NPI
- 1629228671
- Provider Type
- Individual
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- September 26, 2008
- Last Updated
- September 26, 2008
Practice Location
- 25 Liberty St
- Batavia, NY 14020-3246
Phone: (585) 343-1840
Mailing Address
- 71 Tristan Ln
- Williamsville, NY 14221-4438
Specialties
- Speech-Language Pathologist (235Z00000X)
Full Record
- NPI
- 1629228671
- Entity Type
- Individual
- Last Name
- Stark
- First Name
- Raquel
- Middle Name
- Ayn
- Name Prefix
- Mrs.
- Credential
- M.A., CCC-SLP
- Mailing Street Address
- 71 Tristan Ln
- Mailing City
- Williamsville
- Mailing State
- NY
- Mailing ZIP Code
- 14221-4438
- Mailing Country
- US
- Mailing Phone
- (716) 626-0239
- Practice Street Address
- 25 Liberty St
- Practice City
- Batavia
- Practice State
- NY
- Practice ZIP Code
- 14020-3246
- Practice Country
- US
- Practice Phone
- (585) 343-1840
- Practice Fax
- (585) 343-2185
- Enumeration Date
- September 26, 2008
- Last Updated
- September 26, 2008
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Speech-Language Pathologist (235Z00000X)