National Provider Identifier

Alix Marie Novack

Alix Marie Novack is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Hamburg, NY and a listed phone number of (877) 246-2396.

NPI 1801689831Hamburg, NYSpeech-Language Pathologist

Profile Overview

NPI
1801689831
Provider Type
Individual
Primary Specialty
Speech-Language Pathologist
Enumeration Date
May 23, 2025
Last Updated
May 23, 2025

Practice Location

  • 162 Main St
  • Hamburg, NY 14075-4917

Phone: (877) 246-2396

Mailing Address

  • 8691 N Main St
  • Angola, NY 14006-9603

Specialties

  • Speech-Language Pathologist (235Z00000X)
Full Record
NPI
1801689831
Entity Type
Individual
Last Name
Novack
First Name
Alix
Middle Name
Marie
Mailing Street Address
8691 N Main St
Mailing City
Angola
Mailing State
NY
Mailing ZIP Code
14006-9603
Mailing Country
US
Mailing Phone
(716) 783-0405
Practice Street Address
162 Main St
Practice City
Hamburg
Practice State
NY
Practice ZIP Code
14075-4917
Practice Country
US
Practice Phone
(877) 246-2396
Practice Fax
(877) 246-2396
Enumeration Date
May 23, 2025
Last Updated
May 23, 2025
Sex
Female
Sole Proprietor
Yes
Certification Date
May 23, 2025
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Speech-Language Pathologist (235Z00000X)