National Provider Identifier

Paige Alexandra Mistretta

Paige Alexandra Mistretta is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Cheektowaga, NY and a listed phone number of (716) 631-9515.

NPI 1790446102Cheektowaga, NYSpeech-Language Pathologist

Profile Overview

NPI
1790446102
Provider Type
Individual
Primary Specialty
Speech-Language Pathologist
Enumeration Date
January 07, 2022
Last Updated
September 21, 2022

Practice Location

  • 777 Maryvale Dr
  • Cheektowaga, NY 14225-2712

Phone: (716) 631-9515

Mailing Address

  • 64 Marquette Ave
  • Kenmore, NY 14217-2930

Specialties

  • Speech-Language Pathologist (235Z00000X)
Full Record
NPI
1790446102
Entity Type
Individual
Last Name
Mistretta
First Name
Paige
Middle Name
Alexandra
Mailing Street Address
64 Marquette Ave
Mailing City
Kenmore
Mailing State
NY
Mailing ZIP Code
14217-2930
Mailing Country
US
Mailing Phone
(716) 574-4997
Practice Street Address
777 Maryvale Dr
Practice City
Cheektowaga
Practice State
NY
Practice ZIP Code
14225-2712
Practice Country
US
Practice Phone
(716) 631-9515
Enumeration Date
January 07, 2022
Last Updated
September 21, 2022
Sex
Female
Sole Proprietor
No
Certification Date
September 21, 2022
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Speech-Language Pathologist (235Z00000X)