National Provider Identifier

Elise Tiffany Maus

Elise Tiffany Maus is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Victor, NY and a listed phone number of (585) 924-7207.

NPI 1063187243Victor, NYSpeech-Language Pathologist

Profile Overview

NPI
1063187243
Provider Type
Individual
Primary Specialty
Speech-Language Pathologist
Enumeration Date
August 10, 2021
Last Updated
September 19, 2022

Practice Location

  • 590 Fishers Station Dr Ste 130
  • Victor, NY 14564-9744

Phone: (585) 924-7207

Mailing Address

  • 7410 Forest Trl Apt 206
  • Victor, NY 14564-9650

Specialties

  • Speech-Language Pathologist (235Z00000X)
Full Record
NPI
1063187243
Entity Type
Individual
Last Name
Maus
First Name
Elise
Middle Name
Tiffany
Mailing Street Address
7410 Forest Trl Apt 206
Mailing City
Victor
Mailing State
NY
Mailing ZIP Code
14564-9650
Mailing Country
US
Mailing Phone
(607) 321-1742
Practice Street Address
590 Fishers Station Dr Ste 130
Practice City
Victor
Practice State
NY
Practice ZIP Code
14564-9744
Practice Country
US
Practice Phone
(585) 924-7207
Enumeration Date
August 10, 2021
Last Updated
September 19, 2022
Sex
Female
Sole Proprietor
No
Certification Date
September 19, 2022
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Speech-Language Pathologist (235Z00000X)