Provider Demographics
NPI:1073799805
Name:WINTERHALTER, NANCI LEE (SLP)
Entity Type:Individual
Prefix:MRS
First Name:NANCI
Middle Name:LEE
Last Name:WINTERHALTER
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:84 PARKHURST BLVD
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14223-2839
Mailing Address - Country:US
Mailing Address - Phone:716-912-3956
Mailing Address - Fax:
Practice Address - Street 1:84 PARKHURST BLVD
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14223-2839
Practice Address - Country:US
Practice Address - Phone:716-912-3956
Practice Address - Fax:716-662-5700
Is Sole Proprietor?:No
Enumeration Date:2008-01-10
Last Update Date:2023-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
235Z00000X
NY013188-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist