National Provider Identifier
Renee Marie Corcoran, MA CCC-SLP
Renee Marie Corcoran, MA CCC-SLP is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Lake View, NY and a listed phone number of (716) 627-4954.
Profile Overview
- NPI
- 1689860454
- Provider Type
- Individual
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- September 14, 2007
- Last Updated
- September 14, 2007
Practice Location
- 5913 Shoreham Dr
- Lake View, NY 14085-9793
Phone: (716) 627-4954
Specialties
- Speech-Language Pathologist (235Z00000X)
Full Record
- NPI
- 1689860454
- Entity Type
- Individual
- Last Name
- Corcoran
- First Name
- Renee
- Middle Name
- Marie
- Name Prefix
- Miss
- Credential
- MA CCC-SLP
- Mailing Street Address
- 5913 Shoreham Dr
- Mailing City
- Lake View
- Mailing State
- NY
- Mailing ZIP Code
- 14085-9793
- Mailing Country
- US
- Mailing Phone
- (716) 627-4954
- Practice Street Address
- 5913 Shoreham Dr
- Practice City
- Lake View
- Practice State
- NY
- Practice ZIP Code
- 14085-9793
- Practice Country
- US
- Practice Phone
- (716) 627-4954
- Enumeration Date
- September 14, 2007
- Last Updated
- September 14, 2007
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Speech-Language Pathologist (235Z00000X)