National Provider Identifier

Lisa Annette Blair, M.A., CCC/SLP

Lisa Annette Blair, M.A., 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) 831-4160.

NPI 1972759751Buffalo, NYSpeech-Language Pathologist

Profile Overview

NPI
1972759751
Provider Type
Individual
Primary Specialty
Speech-Language Pathologist
Enumeration Date
August 13, 2008
Last Updated
August 13, 2008

Practice Location

  • 1657 Kensington Ave
  • The Early Childhood Program Of Wchob/K
  • Buffalo, NY 14215-1412

Phone: (716) 831-4160

Mailing Address

  • 44 Mariner St
  • Buffalo, NY 14201-2030

Specialties

  • Speech-Language Pathologist (235Z00000X)
Full Record
NPI
1972759751
Entity Type
Individual
Last Name
Blair
First Name
Lisa
Middle Name
Annette
Name Prefix
Mrs.
Credential
M.A., CCC/SLP
Mailing Street Address
44 Mariner St
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14201-2030
Mailing Country
US
Mailing Phone
(716) 883-5350
Practice Street Address
1657 Kensington Ave
Practice Address Line 2
The Early Childhood Program Of Wchob/K
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14215-1412
Practice Country
US
Practice Phone
(716) 831-4160
Enumeration Date
August 13, 2008
Last Updated
August 13, 2008
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Speech-Language Pathologist (235Z00000X)