Provider Demographics
NPI:1649420894
Name:O'TOOLE, DALE LETTY (MA,CCC,SLP/L)
Entity Type:Individual
Prefix:MS
First Name:DALE
Middle Name:LETTY
Last Name:O'TOOLE
Suffix:
Gender:F
Credentials:MA,CCC,SLP/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:80 LAWRENCE BELL DR
Mailing Address - Street 2:SUITE 115
Mailing Address - City:WILLIAMSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14221-7074
Mailing Address - Country:US
Mailing Address - Phone:716-204-0355
Mailing Address - Fax:716-204-0354
Practice Address - Street 1:1085 EGGERT RD
Practice Address - Street 2:
Practice Address - City:AMHERST
Practice Address - State:NY
Practice Address - Zip Code:14226-4148
Practice Address - Country:US
Practice Address - Phone:716-831-8422
Practice Address - Fax:716-831-8428
Is Sole Proprietor?:No
Enumeration Date:2008-09-24
Last Update Date:2019-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY004345-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist