National Provider Identifier
Jacqueline M Mirti, M.S.ED, CCC-SLP
Jacqueline M Mirti, M.S.ED, CCC-SLP is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Buffalo, NY and a listed phone number of (716) 816-4150.
Profile Overview
- NPI
- 1831467687
- Provider Type
- Individual
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- December 08, 2011
- Last Updated
- December 08, 2011
Practice Location
- 489 Hertel Ave
- Buffalo, NY 14207-2303
Phone: (716) 816-4150
Specialties
- Speech-Language Pathologist (235Z00000X)
Full Record
- NPI
- 1831467687
- Entity Type
- Individual
- Last Name
- Mirti
- First Name
- Jacqueline
- Middle Name
- M
- Name Prefix
- Miss
- Credential
- M.S.ED, CCC-SLP
- Mailing Street Address
- 489 Hertel Ave
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14207-2303
- Mailing Country
- US
- Mailing Phone
- (716) 816-4150
- Practice Street Address
- 489 Hertel Ave
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14207-2303
- Practice Country
- US
- Practice Phone
- (716) 816-4150
- Enumeration Date
- December 08, 2011
- Last Updated
- December 08, 2011
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Speech-Language Pathologist (235Z00000X)