Provider Demographics
NPI:1912150475
Name:BELL, DAVID J (SPEECH-LANGAUGE PATH)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:J
Last Name:BELL
Suffix:
Gender:M
Credentials:SPEECH-LANGAUGE PATH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:620 EDGEMERE DR
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14612-1722
Mailing Address - Country:US
Mailing Address - Phone:585-315-1585
Mailing Address - Fax:
Practice Address - Street 1:620 EDGEMERE DR
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14612-1722
Practice Address - Country:US
Practice Address - Phone:585-315-1585
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-28
Last Update Date:2008-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000922-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist