Provider Demographics
NPI:1619296944
Name:CIEPIELA, LISA M (MS, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:LISA
Middle Name:M
Last Name:CIEPIELA
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Gender:F
Credentials:MS, CCC-SLP
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Mailing Address - Street 1:50 E NORTH ST
Mailing Address - Street 2:BUFFALO HEARING & SPEECH CENTER
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14203-1002
Mailing Address - Country:US
Mailing Address - Phone:716-885-8313
Mailing Address - Fax:716-885-0229
Practice Address - Street 1:1026 UNION RD
Practice Address - Street 2:SOUTHTOWNS BUFFALO HEARING & SPEECH CENTER
Practice Address - City:WEST SENECA
Practice Address - State:NY
Practice Address - Zip Code:14224-3445
Practice Address - Country:US
Practice Address - Phone:716-558-1105
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-05-26
Last Update Date:2010-05-26
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Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY55641235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist