National Provider Identifier

Alicia Marie Santillo, M.S.ED, SLP-LIC

Alicia Marie Santillo, M.S.ED, SLP-LIC is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Buffalo, NY and a listed phone number of (716) 909-7420.

NPI 1922554005Buffalo, NYSpeech-Language Pathologist

Profile Overview

NPI
1922554005
Provider Type
Individual
Primary Specialty
Speech-Language Pathologist
Enumeration Date
August 29, 2016
Last Updated
May 20, 2025

Practice Location

  • 255 Porter Ave
  • Buffalo, NY 14201-1051

Phone: (716) 909-7420

Mailing Address

  • 70 Cottage St
  • Buffalo, NY 14201-2013

Specialties

  • Speech-Language Pathologist (235Z00000X)
Full Record
NPI
1922554005
Entity Type
Individual
Last Name
Santillo
First Name
Alicia
Middle Name
Marie
Credential
M.S.ED, SLP-LIC
Mailing Street Address
70 Cottage St
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14201-2013
Mailing Country
US
Mailing Phone
(716) 909-7420
Practice Street Address
255 Porter Ave
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14201-1051
Practice Country
US
Practice Phone
(716) 909-7420
Enumeration Date
August 29, 2016
Last Updated
May 20, 2025
Sex
Female
Sole Proprietor
No
Certification Date
May 20, 2025
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Speech-Language Pathologist (235Z00000X)