Provider Demographics
NPI:1144638800
Name:MCINTOSH, CLAIRE BEERS (AUD)
Entity type:Individual
Prefix:
First Name:CLAIRE
Middle Name:BEERS
Last Name:MCINTOSH
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:CLAIRE
Other - Middle Name:
Other - Last Name:BEERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AUD
Mailing Address - Street 1:4600 MAIN ST
Mailing Address - Street 2:SUITE 201
Mailing Address - City:AMHERST
Mailing Address - State:NY
Mailing Address - Zip Code:14226-4500
Mailing Address - Country:US
Mailing Address - Phone:716-833-4488
Mailing Address - Fax:716-839-1218
Practice Address - Street 1:4600 MAIN ST
Practice Address - Street 2:SUITE 201
Practice Address - City:AMHERST
Practice Address - State:NY
Practice Address - Zip Code:14226-4500
Practice Address - Country:US
Practice Address - Phone:716-833-4488
Practice Address - Fax:716-839-1218
Is Sole Proprietor?:No
Enumeration Date:2014-07-25
Last Update Date:2015-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY002494231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1346285657Medicaid
NY1346285657Medicare Oscar/Certification
NY1346285657Medicare NSC
NY1346285657Medicare UPIN
NY1346285657Medicare PIN