National Provider Identifier

Julie E. Clonan, M.S.ED.CCC-SLP

Julie E. Clonan, M.S.ED.CCC-SLP is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Buffalo, NY and a listed phone number of (716) 415-2302.

NPI 1669942363Buffalo, NYSpeech-Language Pathologist

Profile Overview

NPI
1669942363
Provider Type
Individual
Primary Specialty
Speech-Language Pathologist
Enumeration Date
November 26, 2018
Last Updated
September 27, 2024

Practice Location

  • 89 Clare Street
  • Buffalo, NY 14206

Phone: (716) 415-2302

Mailing Address

  • 71 Balbach Dr
  • Buffalo, NY 14225

Specialties

  • Speech-Language Pathologist (235Z00000X)
  • Speech-Language Pathologist (235Z00000X)
Full Record
NPI
1669942363
Entity Type
Individual
Last Name
Clonan
First Name
Julie
Middle Name
E.
Name Prefix
MS.
Credential
M.S.ED.CCC-SLP
Mailing Street Address
71 Balbach Dr
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14225
Mailing Country
US
Mailing Phone
(315) 317-5252
Practice Street Address
89 Clare Street
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14206
Practice Country
US
Practice Phone
(716) 415-2302
Enumeration Date
November 26, 2018
Last Updated
September 27, 2024
Sex
Female
Sole Proprietor
No
Certification Date
September 19, 2024
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Speech-Language Pathologist (235Z00000X), Speech-Language Pathologist (235Z00000X)
Other Identifiers
05421903 (NY)