Organization
MARYVALE SCHOOL SYSTEM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. COLLEEN MARY SMITH M.S. CCC-SLP (SPEECH PATHOLOGIST)
(716) 517-6406
Entity
Organization
Contact information
Practice address
423 DOWNING ST, BUFFALO, NY 14220-2745
(716) 824-7112
Mailing address
423 DOWNING ST, BUFFALO, NY 14220-2745
(716) 824-7112
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
012019
NY
Other
Enumeration date
08/30/2012
Last updated
08/30/2012
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