Small Town Speech Therapy PLLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

SMALL TOWN SPEECH THERAPY PLLC

Practice address

3283 E Church St
Eden, NY 14057-9509

Phone

(518) 307-5340

NPI assigned

Apr 27, 2022

Organization subpart

No

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

Authorized official

Name

Alyssa Polzin, M. S. ED CCC/SLPNPI 1932642188

Title

Owner/Speech Language Pathologist

Phone

(716) 575-5024

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Alyssa Polzin

  • Speech-Language Pathologist
  • Gowanda, NY
  • NPI 1932642188
  NPD Authorized official

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

{
    "created_epoch": "1651017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651017600000",
    "number": "1992440648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3283 E CHURCH ST",
            "city": "EDEN",
            "state": "NY",
            "postal_code": "140579509",
            "telephone_number": "518-307-5340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3283 E CHURCH ST",
            "city": "EDEN",
            "state": "NY",
            "postal_code": "140579509",
            "telephone_number": "518-307-5340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMALL TOWN SPEECH THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-27",
        "last_updated": "2022-04-27",
        "certification_date": "2022-04-27",
        "status": "A",
        "authorized_official_last_name": "POLZIN",
        "authorized_official_first_name": "ALYSSA",
        "authorized_official_title_or_position": "OWNER/SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "716-575-5024",
        "authorized_official_credential": "M. S. ED CCC/SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamie Anne Peterson, CCC SLP
• Kiernan C. Pierce, CCC-SLP, OM
• Delano Franklyn Ramsoomair, MD
• Ronald G. Basalyga, M.D. PC
• Ann L Schaefer, PT
• Olivia Speranza
• Claudia Ann Spicola
• Eileen Madonna Stayzer, C.O.T.A.
• Deborah Ann Stein, LPN
• James Gary Stoll

• All providers in Eden, NY
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2022; 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.