Provider Demographics
NPI:1154928091
Name:DEMARCO, CLAIRE MARIE (MS CCC-SLP)
Entity type:Individual
Prefix:
First Name:CLAIRE
Middle Name:MARIE
Last Name:DEMARCO
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1012 CAYUGA DR
Mailing Address - Street 2:
Mailing Address - City:NIAGARA FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:14304-2512
Mailing Address - Country:US
Mailing Address - Phone:716-550-1927
Mailing Address - Fax:
Practice Address - Street 1:2111 GIRDLE RD
Practice Address - Street 2:
Practice Address - City:ELMA
Practice Address - State:NY
Practice Address - Zip Code:14059-9278
Practice Address - Country:US
Practice Address - Phone:716-652-3000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-05
Last Update Date:2024-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY030954235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist