National Provider Identifier
Mair Olmsted Frederick, CCC-SLP
Mair Olmsted Frederick, CCC-SLP is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in West Seneca, NY and a listed phone number of (716) 677-3620.
Profile Overview
- NPI
- 1629363981
- Provider Type
- Individual
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- June 15, 2011
- Last Updated
- June 15, 2011
Practice Location
- 1397 Orchard Park RD
- West Seneca, NY 14224-4029
Phone: (716) 677-3620
Mailing Address
- 68 N Willow St
- East Aurora, NY 14052-1611
Specialties
- Speech-Language Pathologist (235Z00000X)
Full Record
- NPI
- 1629363981
- Entity Type
- Individual
- Last Name
- Frederick
- First Name
- Mair
- Middle Name
- Olmsted
- Name Prefix
- Mrs.
- Credential
- CCC-SLP
- Mailing Street Address
- 68 N Willow St
- Mailing City
- East Aurora
- Mailing State
- NY
- Mailing ZIP Code
- 14052-1611
- Mailing Country
- US
- Mailing Phone
- (716) 655-4325
- Practice Street Address
- 1397 Orchard Park RD
- Practice City
- West Seneca
- Practice State
- NY
- Practice ZIP Code
- 14224-4029
- Practice Country
- US
- Practice Phone
- (716) 677-3620
- Enumeration Date
- June 15, 2011
- Last Updated
- June 15, 2011
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Speech-Language Pathologist (235Z00000X)