Jaclyn Dusel, MA, CCC/L-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

4242 Ridge Lea Road Suite 2
Amherst, NY 14226

Phone

(716) 819-2400

NPI assigned

Jun 24, 2013

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Mrs. Jaclyn Lewandowski Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1372032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442361600000",
    "number": "1033558937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4242 RIDGE LEA ROAD SUITE 2",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "14226",
            "telephone_number": "716-819-2400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4242 RIDGE LEA ROAD SUITE 2",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "14226",
            "telephone_number": "716-819-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUSEL",
        "first_name": "JACLYN",
        "name_prefix": "Mrs.",
        "credential": "MA, CCC/L-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-24",
        "last_updated": "2015-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "022871-1",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03662599",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACLYN",
            "last_name": "LEWANDOWSKI",
            "prefix": "MRS.",
            "credential": "MA, CCC/L-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Patricia S Dunne, LMSW
• Duquin Family Chiropractic, PLLC
• Christian Michael Duquin, D.C.
• Kathleen O Durfee, PT
• Helen Marie Dusel, D.D.S.
• Francy Duska, RN
• Teresa Ann Dwyer, M.A; CCC, SLP
• David Daniel Dyson, ATC
• Rosanna Dziama, ANP
• E. Glynn Couch LCSW, PLLC (GC Counseling LCSW, PLLC)

• Speech-Language Pathologist in Amherst, NY
• Providers in Amherst, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.