National Provider Identifier

Kathy Ann Wylie, M.A., SLP/CCC

Kathy Ann Wylie, M.A., SLP/CCC is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Buffalo, NY and a listed phone number of (716) 885-8871.

NPI 1942480710Buffalo, NYSpeech-Language Pathologist

Profile Overview

NPI
1942480710
Provider Type
Individual
Primary Specialty
Speech-Language Pathologist
Enumeration Date
November 09, 2007
Last Updated
November 09, 2007

Practice Location

  • 50 E North St
  • Buffalo, NY 14203-1002

Phone: (716) 885-8871

Mailing Address

  • 4173 Bain Pkwy
  • Blasdell, NY 14219-2401

Specialties

  • Speech-Language Pathologist (235Z00000X)
Full Record
NPI
1942480710
Entity Type
Individual
Last Name
Wylie
First Name
Kathy
Middle Name
Ann
Name Prefix
Mrs.
Credential
M.A., SLP/CCC
Provider Other Last Name
Stahl
Provider Other First Name
Kathy
Provider Other Middle Name
Ann
Provider Other Name Prefix Text
MS.
Provider Other Credential Text
M.A., SLP/CCC
Provider Other Last Name Type Code
1
Mailing Street Address
4173 Bain Pkwy
Mailing City
Blasdell
Mailing State
NY
Mailing ZIP Code
14219-2401
Mailing Country
US
Mailing Phone
(716) 821-0546
Practice Street Address
50 E North St
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14203-1002
Practice Country
US
Practice Phone
(716) 885-8871
Enumeration Date
November 09, 2007
Last Updated
November 09, 2007
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Speech-Language Pathologist (235Z00000X)