National Provider Identifier

Elizabeth Mary Shabala, MA CCC-SLP

Elizabeth Mary Shabala, MA CCC-SLP is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Amherst, NY and a listed phone number of (716) 390-5773.

NPI 1790036051Amherst, NYSpeech-Language Pathologist

Profile Overview

NPI
1790036051
Provider Type
Individual
Primary Specialty
Speech-Language Pathologist
Enumeration Date
September 27, 2012
Last Updated
September 27, 2012

Practice Location

  • 122 S Cayuga RD
  • Amherst, NY 14221-6731

Phone: (716) 390-5773

Specialties

  • Speech-Language Pathologist (235Z00000X)
Full Record
NPI
1790036051
Entity Type
Individual
Last Name
Shabala
First Name
Elizabeth
Middle Name
Mary
Name Prefix
Mrs.
Credential
MA CCC-SLP
Mailing Street Address
122 S Cayuga RD
Mailing City
Amherst
Mailing State
NY
Mailing ZIP Code
14221-6731
Mailing Country
US
Mailing Phone
(716) 390-5773
Practice Street Address
122 S Cayuga RD
Practice City
Amherst
Practice State
NY
Practice ZIP Code
14221-6731
Practice Country
US
Practice Phone
(716) 390-5773
Enumeration Date
September 27, 2012
Last Updated
September 27, 2012
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Speech-Language Pathologist (235Z00000X)