Provider Demographics
NPI:1992439236
Name:BUETTNER, ANA LORIN (MS CCC-SLP/L TSSLD)
Entity type:Individual
Prefix:
First Name:ANA
Middle Name:LORIN
Last Name:BUETTNER
Suffix:
Gender:F
Credentials:MS CCC-SLP/L TSSLD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:6225 SHERIDAN DR STE 210
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14221-4800
Mailing Address - Country:US
Mailing Address - Phone:716-343-4418
Mailing Address - Fax:716-204-8231
Practice Address - Street 1:6225 SHERIDAN DR STE 210
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14221-4800
Practice Address - Country:US
Practice Address - Phone:716-343-4418
Practice Address - Fax:716-204-8231
Is Sole Proprietor?:No
Enumeration Date:2022-07-12
Last Update Date:2025-06-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY032681235Z00000X, 235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY07617292Medicaid