National Provider Identifier

Michele Lynn Wolcott, MA CCC-SLP

Michele Lynn Wolcott, MA CCC-SLP is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Corning, NY and a listed phone number of (607) 936-4156.

NPI 1801102025Corning, NYSpeech-Language Pathologist

Profile Overview

NPI
1801102025
Provider Type
Individual
Primary Specialty
Speech-Language Pathologist
Enumeration Date
August 25, 2010
Last Updated
May 25, 2022

Practice Location

  • 3414 Stanton St.
  • Corning, NY 14870

Phone: (607) 936-4156

Mailing Address

  • 79 Durland Ave
  • Elmira, NY 14905-1938

Specialties

  • Speech-Language Pathologist (235Z00000X)
Full Record
NPI
1801102025
Entity Type
Individual
Last Name
Wolcott
First Name
Michele
Middle Name
Lynn
Name Prefix
MS.
Credential
MA CCC-SLP
Provider Other Last Name
Wolcott-Lovell
Provider Other First Name
Michele
Provider Other Middle Name
Lynn
Provider Other Name Prefix Text
Mrs.
Provider Other Last Name Type Code
1
Mailing Street Address
79 Durland Ave
Mailing City
Elmira
Mailing State
NY
Mailing ZIP Code
14905-1938
Mailing Country
US
Practice Street Address
3414 Stanton St.
Practice City
Corning
Practice State
NY
Practice ZIP Code
14870
Practice Country
US
Practice Phone
(607) 936-4156
Enumeration Date
August 25, 2010
Last Updated
May 25, 2022
Sex
Female
Sole Proprietor
No
Certification Date
May 25, 2022
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Speech-Language Pathologist (235Z00000X)