Jeanne Rebecca Sitarski, M.S. CCC SLP

Individual provider Active NPI Speech-Language Pathologist · Buffalo, NY

NPI 1215201017 · NPPES record last updated Apr 12, 2018

Key facts

NPI
1215201017
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
017678 (NY)
Practice address
50 E North St
Buffalo, NY 14203-1002
Phone
(716) 885-8318
NPI assigned
Feb 27, 2012
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
017678NYMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 017678 NY Yes

Addresses

Primary practice location

50 E North St
Buffalo, NY 14203-1002

Mailing address

50 E North St
Buffalo, NY 14203-1002
Phone (716) 885-8318

Other providers in Buffalo, NY

All providers in Buffalo, NY · Speech-Language Pathologist in New York

Sources for this page

Verify at the official NPI Registry.