National Provider Identifier

Elaine Tess Stathopoulos, PHD CCC SLP

Elaine Tess Stathopoulos, PHD 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) 829-3980.

NPI 1679611370Buffalo, NYSpeech-Language Pathologist

Profile Overview

NPI
1679611370
Provider Type
Individual
Primary Specialty
Speech-Language Pathologist
Enumeration Date
February 02, 2007
Last Updated
July 08, 2007

Practice Location

  • 52 Biomedical Education Building
  • Buffalo, NY 14214-8016

Phone: (716) 829-3980

Specialties

  • Speech-Language Pathologist (235Z00000X)
Full Record
NPI
1679611370
Entity Type
Individual
Last Name
Stathopoulos
First Name
Elaine
Middle Name
Tess
Credential
PHD CCC SLP
Mailing Street Address
52 Biomedical Education Building
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14214-8016
Mailing Country
US
Mailing Phone
(716) 829-3980
Mailing Fax
(716) 829-3974
Practice Street Address
52 Biomedical Education Building
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14214-8016
Practice Country
US
Practice Phone
(716) 829-3980
Practice Fax
(716) 829-3974
Enumeration Date
February 02, 2007
Last Updated
July 08, 2007
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Speech-Language Pathologist (235Z00000X)
Other Identifiers
00011240404 (Univera Group), 000640015003 (Bc Cb Adv Sb), 9210117 (Indpendent Health Group)