Provider Demographics
NPI:1265751432
Name:CZAPLA, MICHAELLE (MS, CCC-SLP)
Entity type:Individual
Prefix:
First Name:MICHAELLE
Middle Name:
Last Name:CZAPLA
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:MICHAELLE
Other - Middle Name:
Other - Last Name:PROSCH NEWMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:260 BUFFALO ST
Mailing Address - Street 2:
Mailing Address - City:CANANDAIGUA
Mailing Address - State:NY
Mailing Address - Zip Code:14424-1014
Mailing Address - Country:US
Mailing Address - Phone:585-267-0954
Mailing Address - Fax:
Practice Address - Street 1:703 EAST MAPLE AVE
Practice Address - Street 2:TYMESON BUILDING
Practice Address - City:NEWARK
Practice Address - State:NY
Practice Address - Zip Code:14513
Practice Address - Country:US
Practice Address - Phone:315-331-1700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-05-26
Last Update Date:2022-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY019248-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist