Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Gregory Tibollo, MS, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1639454259

Mr. Gregory Tibollo, MS, CCC-SLP is a Speech-Language Pathologist in North Tonawanda, New York. Licensed in New York. Registered with an NPI since 2011.

Licensed in
NY
In the registry since
2011
What do these letters mean?
MS — Master of Science
A graduate science degree.
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

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Practice location Address checks out

175 Humphrey St
North Tonawanda, NY 14120-4009
Phone: (716) 807-3700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 011748-1 (NY)

Record details

NPI number1639454259
Entity typeIndividual (Type 1)
GenderMale
Credentials MS , CCC-SLP
Sole proprietorNo
NPI enumeratedOctober 14, 2011
Last updated in NPPESOctober 14, 2011

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