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Organization
WESTSIDE SPEECH AND LANGUAGE PATHOLOGY PLLC
Active
Organization
WESTSIDE SPEECH AND LANGUAGE PATHOLOGY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE JOHNSON (OWNER)
(716) 984-1296
Entity
Organization
Contact information
Practice address
182 QUEENSLAND DR, SPENCERPORT, NY 14559-2410
(716) 984-1296
Mailing address
PO BOX 297, SPENCERPORT, NY 14559-0297
(716) 984-1296
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
12/29/2023
Last updated
12/29/2023
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