Provider Demographics
NPI:1487966966
Name:PULLANO, CLARE MICHELLE (MS CCC/SLP)
Entity type:Individual
Prefix:MRS
First Name:CLARE
Middle Name:MICHELLE
Last Name:PULLANO
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 1:33 WYNDALE RD
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14617-3631
Mailing Address - Country:US
Mailing Address - Phone:585-755-6066
Mailing Address - Fax:
Practice Address - Street 1:33 WYNDALE RD
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14617-3631
Practice Address - Country:US
Practice Address - Phone:585-755-6066
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-13
Last Update Date:2010-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY58013503235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist