National Provider Identifier

Heather Sue Cleary, M.A.CCC-SLP

Heather Sue Cleary, M.A.CCC-SLP is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Rochester, NY and a listed phone number of (585) 663-4330.

NPI 1649572488Rochester, NYSpeech-Language Pathologist

Profile Overview

NPI
1649572488
Provider Type
Individual
Primary Specialty
Speech-Language Pathologist
Enumeration Date
November 30, 2010
Last Updated
November 30, 2010

Practice Location

  • 3330 Lake Ave
  • Rochester, NY 14612-5453

Phone: (585) 663-4330

Specialties

  • Speech-Language Pathologist (235Z00000X)
Full Record
NPI
1649572488
Entity Type
Individual
Last Name
Cleary
First Name
Heather
Middle Name
Sue
Name Prefix
Mrs.
Credential
M.A.CCC-SLP
Provider Other Last Name
Wilson
Provider Other First Name
Heather
Provider Other Middle Name
Sue
Provider Other Name Prefix Text
Miss
Provider Other Credential Text
M.A.CCC-SLP
Provider Other Last Name Type Code
1
Mailing Street Address
3330 Lake Ave
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14612-5453
Mailing Country
US
Mailing Phone
(585) 663-4330
Mailing Fax
(585) 621-0276
Practice Street Address
3330 Lake Ave
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14612-5453
Practice Country
US
Practice Phone
(585) 663-4330
Practice Fax
(585) 621-0276
Enumeration Date
November 30, 2010
Last Updated
November 30, 2010
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Speech-Language Pathologist (235Z00000X)