Provider Demographics
NPI:1437284338
Name:TREUTLEIN, TAMI DENISE (CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:TAMI
Middle Name:DENISE
Last Name:TREUTLEIN
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:TAMI
Other - Middle Name:
Other - Last Name:BAIRD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CCC-SLP
Mailing Address - Street 1:3993 HARLEM RD
Mailing Address - Street 2:
Mailing Address - City:AMHERST
Mailing Address - State:NY
Mailing Address - Zip Code:14226-4707
Mailing Address - Country:US
Mailing Address - Phone:716-839-6150
Mailing Address - Fax:716-839-6151
Practice Address - Street 1:3993 HARLEM RD
Practice Address - Street 2:
Practice Address - City:AMHERST
Practice Address - State:NY
Practice Address - Zip Code:14226-4707
Practice Address - Country:US
Practice Address - Phone:716-839-6150
Practice Address - Fax:716-839-6151
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-22
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY011669235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY000000082359OtherGHI
NY00025508201OtherUNIVERA
NY9211322OtherINDEPENDENT HEALTH
NY00640164002OtherBC & BS OF WNY
NY02167848Medicaid