National Provider Identifier

Susan Marie Agnew, MSCCCSLP

Susan Marie Agnew, MSCCCSLP is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Hamburg, NY and a listed phone number of (716) 926-1740.

NPI 1881971430Hamburg, NYSpeech-Language Pathologist

Profile Overview

NPI
1881971430
Provider Type
Individual
Primary Specialty
Speech-Language Pathologist
Enumeration Date
November 10, 2011
Last Updated
November 10, 2011

Practice Location

  • 4460 Bay View RD
  • Hamburg, NY 14075-1335

Phone: (716) 926-1740

Mailing Address

  • 9257 Potter Hill RD
  • Cattaraugus, NY 14719-9602

Specialties

  • Speech-Language Pathologist (235Z00000X)
Full Record
NPI
1881971430
Entity Type
Individual
Last Name
Agnew
First Name
Susan
Middle Name
Marie
Name Prefix
Mrs.
Credential
MSCCCSLP
Mailing Street Address
9257 Potter Hill RD
Mailing City
Cattaraugus
Mailing State
NY
Mailing ZIP Code
14719-9602
Mailing Country
US
Mailing Phone
(716) 257-5246
Practice Street Address
4460 Bay View RD
Practice City
Hamburg
Practice State
NY
Practice ZIP Code
14075-1335
Practice Country
US
Practice Phone
(716) 926-1740
Enumeration Date
November 10, 2011
Last Updated
November 10, 2011
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Speech-Language Pathologist (235Z00000X)
Other Identifiers
01390945 (NY)