Provider Demographics
NPI:1588940324
Name:DAY, PAULETTE A (CCC-SLP)
Entity type:Individual
Prefix:
First Name:PAULETTE
Middle Name:A
Last Name:DAY
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:701 KAYMAR DR
Mailing Address - Street 2:
Mailing Address - City:AMHERST
Mailing Address - State:NY
Mailing Address - Zip Code:14228-3464
Mailing Address - Country:US
Mailing Address - Phone:716-525-1079
Mailing Address - Fax:
Practice Address - Street 1:5700 WEST ST
Practice Address - Street 2:
Practice Address - City:SANBORN
Practice Address - State:NY
Practice Address - Zip Code:14132-9269
Practice Address - Country:US
Practice Address - Phone:716-250-3200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-10-25
Last Update Date:2011-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY007734235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist