Healthcare Provider Details

I. General information

NPI: 1447163605
Provider Name (Legal Business Name): ASHLEY NICOLE MCALEESE MS, CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/28/2026
Last Update Date: 09/28/2026
Certification Date: 09/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

750 E ADAMS ST
SYRACUSE NY
13210-2306
US

IV. Provider business mailing address

2101 BRIGHTON PL UNIT 2313
SYRACUSE NY
13210-4314
US

V. Phone/Fax

Practice location:
  • Phone: 315-464-5540
  • Fax:
Mailing address:
  • Phone: 440-654-8124
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number036828
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: