National Provider Identifier

Joann Mirabella, M.A.CCC-SP

Joann Mirabella, M.A.CCC-SP is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Tonawanda, NY and a listed phone number of (716) 834-2712.

NPI 1801195979Tonawanda, NYSpeech-Language Pathologist

Profile Overview

NPI
1801195979
Provider Type
Individual
Primary Specialty
Speech-Language Pathologist
Enumeration Date
March 15, 2011
Last Updated
November 04, 2013

Practice Location

  • 313 Wrexham Ct. North
  • Tonawanda, NY 14150

Phone: (716) 834-2712

Mailing Address

  • 313 Wrexham Ct N
  • Tonawanda, NY 14150-8811

Specialties

  • Speech-Language Pathologist (235Z00000X)
Full Record
NPI
1801195979
Entity Type
Individual
Last Name
Mirabella
First Name
Joann
Name Prefix
Mrs.
Credential
M.A.CCC-SP
Mailing Street Address
313 Wrexham Ct N
Mailing City
Tonawanda
Mailing State
NY
Mailing ZIP Code
14150-8811
Mailing Country
US
Mailing Phone
(716) 834-2712
Practice Street Address
313 Wrexham Ct. North
Practice City
Tonawanda
Practice State
NY
Practice ZIP Code
14150
Practice Country
US
Practice Phone
(716) 834-2712
Enumeration Date
March 15, 2011
Last Updated
November 04, 2013
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Speech-Language Pathologist (235Z00000X)