Healthcare Provider Details

I. General information

NPI: 1730707357
Provider Name (Legal Business Name): MONICA COPELLA MA CCC-SLP/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MONICA SCHAFFSTALL MA CCC-SLP/L

II. Dates (important events)

Enumeration Date: 07/09/2020
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

51 SAINT JOHNS PARKSIDE ST
BUFFALO NY
14210-2515
US

IV. Provider business mailing address

29 WILKSHIRE PL
LANCASTER NY
14086-2703
US

V. Phone/Fax

Practice location:
  • Phone: 716-828-9560
  • Fax:
Mailing address:
  • Phone: 716-536-3537
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number031115
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: