Provider Demographics
NPI:1114177946
Name:DINUNZIO, KATHRYN EMILY (SLP)
Entity Type:Individual
Prefix:MRS
First Name:KATHRYN
Middle Name:EMILY
Last Name:DINUNZIO
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:5745 WOODRUFF DR
Mailing Address - Street 2:
Mailing Address - City:CLARENCE CENTER
Mailing Address - State:NY
Mailing Address - Zip Code:14032-9255
Mailing Address - Country:US
Mailing Address - Phone:716-741-8712
Mailing Address - Fax:716-741-8712
Practice Address - Street 1:5745 WOODRUFF DR
Practice Address - Street 2:
Practice Address - City:CLARENCE CENTER
Practice Address - State:NY
Practice Address - Zip Code:14032-9255
Practice Address - Country:US
Practice Address - Phone:716-741-8712
Practice Address - Fax:716-741-8712
Is Sole Proprietor?:No
Enumeration Date:2008-09-29
Last Update Date:2008-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY008941-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist