Individual
MRS. CLAUDIA C. STACHOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED, SLP
Contact information
Practice address
5280 GOODRICH RD, CLARENCE, NY 14031-1203
(716) 741-2814
Mailing address
5280 GOODRICH RD, CLARENCE, NY 14031-1203
(716) 741-2814
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
002742-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00026626201
UNIVERA HEALTHCARE
NY
01
—
000640203002
BLUECROSS BLUESHIELD WNY
NY
01
—
11516072
CAQH PROVIDER ID
—
01
—
9290070
INDEPENDENT HEALTH
NY
Enumeration date
05/02/2007
Last updated
01/22/2013
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