Provider Demographics
NPI:1073818027
Name:MENDICK, CLAIRE VOELKEL (MS)
Entity Type:Individual
Prefix:MS
First Name:CLAIRE
Middle Name:VOELKEL
Last Name:MENDICK
Suffix:
Gender:F
Credentials:MS
Other - Prefix:MS
Other - First Name:CLAIRE
Other - Middle Name:O'BRIEN
Other - Last Name:VOELKEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:75 BARKER ROAD
Mailing Address - Street 2:
Mailing Address - City:PITTSFORD
Mailing Address - State:NY
Mailing Address - Zip Code:14534
Mailing Address - Country:US
Mailing Address - Phone:585-267-1800
Mailing Address - Fax:585-924-7049
Practice Address - Street 1:75 BARKER ROAD
Practice Address - Street 2:
Practice Address - City:PITTSFORD
Practice Address - State:NY
Practice Address - Zip Code:14534
Practice Address - Country:US
Practice Address - Phone:585-267-1800
Practice Address - Fax:585-924-7049
Is Sole Proprietor?:No
Enumeration Date:2011-01-24
Last Update Date:2018-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY020536-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist