Julie E. Clonan, M.S. ED. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

028251-1 Issued in NY

Practice address

89 Clare Street
Buffalo, NY 14206

Phone

(716) 415-2302

NPI assigned

Nov 26, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Jowonio School

  • Early Intervention Provider Agency
  • Syracuse, NY
  • NPI 1154558443
  NPD (past)

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

{
    "created_epoch": "1543190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727395200000",
    "number": "1669942363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 BALBACH DR",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "14225",
            "telephone_number": "315-317-5252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "89 CLARE STREET",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "14206",
            "telephone_number": "716-415-2302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLONAN",
        "first_name": "JULIE",
        "middle_name": "E.",
        "name_prefix": "Ms.",
        "credential": "M.S. ED. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-26",
        "last_updated": "2024-09-27",
        "certification_date": "2024-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "028251-1",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05421903",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Clinical Support Services
• Clinton Pharmacy , Inc.
• Jeanette Clinton, NURSE
• Virginia Clive, ANP
• Ellyce Clonan, DDS
• Krista Molison Clontz, ANP
• Beverly A Close, PA
• Samuel Cloud, MD
• Pamela A Clough, CRNA
• Haley Noelle Cloutier

• Speech-Language Pathologist in Buffalo, NY
• Providers in Buffalo, 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 27, 2024; 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.