Michelle Yvonne Eckert, CCC-SLP

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

NPI 1851544092 · NPPES record last updated Oct 31, 2008

Key facts

NPI
1851544092
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
0127421 (NY)
Practice address
163 Rabbit Run Rd
Clintondale, NY 12515-5006
Phone
(845) 891-5071
NPI assigned
Oct 31, 2008
Sex
Female
Sole proprietor
Yes

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
0127421NYMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 0127421 NY Yes

Addresses

Primary practice location

163 Rabbit Run Rd
Clintondale, NY 12515-5006

Mailing address

163 Rabbit Run Rd
Clintondale, NY 12515-5006
Phone (845) 891-5071

Other providers in Clintondale, NY

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

Sources for this page

Verify at the official NPI Registry.