Eileen Elizabeth Spencer
Individual provider Active NPI Speech-Language Pathologist · Vestal, NY
NPI 1770720120 · NPPES record last updated Jan 7, 2009
Key facts
- NPI
- 1770720120
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 013728 (NY)
- Practice address
- 4825 Marshall Dr E
Vestal, NY 13850-3925 - Phone
- (607) 760-8980
- NPI assigned
- Jan 7, 2009
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 013728 | NY | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Buttercup Speech Therapy, PLLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 013728 | NY | Yes |
Addresses
Primary practice location
4825 Marshall Dr E
Vestal, NY 13850-3925
Mailing address
6 Wallace Rd
Binghamton, NY 13905-1218
Phone (607) 245-6816
Other providers in Vestal, NY
- Southern Tier Hearing Services PLLC
- Southern Tier Pain Management
- Southern Tier Podiatry PLLC
- Southern Tier Psychiatry PLLC
- Southern Tier Women'S Health Services LLC
- Patricia E Spencer
- David E Sperber
- Aline Stabler
- Colette Stakely
- Beth Stewart
All providers in Vestal, NY · Speech-Language Pathologist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 7, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.