Provider Demographics
NPI:1245613033
Name:SKARUPINSKI, LEAH (MA, CCC-SLP, TSLD)
Entity Type:Individual
Prefix:
First Name:LEAH
Middle Name:
Last Name:SKARUPINSKI
Suffix:
Gender:F
Credentials:MA, CCC-SLP, TSLD
Other - Prefix:
Other - First Name:LEAH
Other - Middle Name:
Other - Last Name:BRAYMILLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, CCC-SLP, TSLD
Mailing Address - Street 1:19 INWOOD PL
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14209-1022
Mailing Address - Country:US
Mailing Address - Phone:716-348-9045
Mailing Address - Fax:
Practice Address - Street 1:712 CITY HALL
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14202-7537
Practice Address - Country:US
Practice Address - Phone:716-816-3500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-06-30
Last Update Date:2024-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist