National Provider Identifier

Vicki L Carlson, MSED., SLP-CCC

Vicki L Carlson, MSED., SLP-CCC is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Gerry, NY and a listed phone number of (716) 450-2308.

NPI 1861659716Gerry, NYSpeech-Language Pathologist

Profile Overview

NPI
1861659716
Provider Type
Individual
Primary Specialty
Speech-Language Pathologist
Enumeration Date
May 19, 2008
Last Updated
May 19, 2008

Practice Location

  • 2576 28 Mile Creek RD
  • Gerry, NY 14740-9530

Phone: (716) 450-2308

Specialties

  • Speech-Language Pathologist (235Z00000X)
Full Record
NPI
1861659716
Entity Type
Individual
Last Name
Carlson
First Name
Vicki
Middle Name
L
Name Prefix
Mrs.
Credential
MSED., SLP-CCC
Mailing Street Address
2576 28 Mile Creek RD
Mailing City
Gerry
Mailing State
NY
Mailing ZIP Code
14740-9530
Mailing Country
US
Mailing Phone
(716) 450-2308
Practice Street Address
2576 28 Mile Creek RD
Practice City
Gerry
Practice State
NY
Practice ZIP Code
14740-9530
Practice Country
US
Practice Phone
(716) 450-2308
Enumeration Date
May 19, 2008
Last Updated
May 19, 2008
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Speech-Language Pathologist (235Z00000X)