Carla Wegrzyn, M.A. CCC/SLP NYS LIC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

008442-1 Issued in NY

Practice address

3566 Kelsey LN
North Tonawanda, NY 14120-3614

Phone

(716) 692-1819

NPI assigned

Sep 23, 2008

Last updated

Sep 23, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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": "1222128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222128000000",
    "number": "1427208735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3566 KELSEY LN",
            "city": "NORTH TONAWANDA",
            "state": "NY",
            "postal_code": "141203614",
            "telephone_number": "716-692-1819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3566 KELSEY LN",
            "city": "NORTH TONAWANDA",
            "state": "NY",
            "postal_code": "141203614",
            "telephone_number": "716-692-1819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEGRZYN",
        "first_name": "CARLA",
        "credential": "M.A. CCC/SLP NYS LIC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-23",
        "last_updated": "2008-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "008442-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in North Tonawanda, NY
• Providers in North Tonawanda, 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 23, 2008; 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.