National Provider Identifier
Vicki June Dornberger, MA SLP
Vicki June Dornberger, MA SLP is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Penn Yan, NY and a listed phone number of (315) 536-7405.
Profile Overview
- NPI
- 1679727085
- Provider Type
- Individual
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- November 12, 2008
- Last Updated
- November 12, 2008
Practice Location
- 284 Rt 54 East Lake RD
- Penn Yan, NY 14527-9406
Phone: (315) 536-7405
Specialties
- Speech-Language Pathologist (235Z00000X)
Full Record
- NPI
- 1679727085
- Entity Type
- Individual
- Last Name
- Dornberger
- First Name
- Vicki
- Middle Name
- June
- Name Prefix
- Mrs.
- Credential
- MA SLP
- Mailing Street Address
- 284 Rt 54 East Lake RD
- Mailing City
- Penn Yan
- Mailing State
- NY
- Mailing ZIP Code
- 14527-9406
- Mailing Country
- US
- Mailing Phone
- (315) 536-7405
- Practice Street Address
- 284 Rt 54 East Lake RD
- Practice City
- Penn Yan
- Practice State
- NY
- Practice ZIP Code
- 14527-9406
- Practice Country
- US
- Practice Phone
- (315) 536-7405
- Enumeration Date
- November 12, 2008
- Last Updated
- November 12, 2008
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Speech-Language Pathologist (235Z00000X)