Basic Information
| Provider Information | |||||||||
| NPI: | 1447488168 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | WESTFALL | ||||||||
| FirstName: | MICHELE | ||||||||
| MiddleName: | DAWN | ||||||||
| NamePrefix: | MS. | ||||||||
| NameSuffix: | |||||||||
| Credential: | M.S., CCC/SLP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1 ADLER DR | ||||||||
| Address2: | |||||||||
| City: | EAST SYRACUSE | ||||||||
| State: | NY | ||||||||
| PostalCode: | 130571223 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3157017900 | ||||||||
| FaxNumber: | 3157017901 | ||||||||
| Practice Location | |||||||||
| Address1: | 1 ADLER DR | ||||||||
| Address2: | |||||||||
| City: | EAST SYRACUSE | ||||||||
| State: | NY | ||||||||
| PostalCode: | 130571223 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3157017900 | ||||||||
| FaxNumber: | 3157017901 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/01/2009 | ||||||||
| LastUpdateDate: | 06/06/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 06/06/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 235Z00000X | 019922 | NY | Y | Speech, Language and Hearing Service Providers | Speech-Language Pathologist |
No ID Information.