National Provider Identifier

Marybeth Christina Freitas, MS/CCC-SLP

Marybeth Christina Freitas, MS/CCC-SLP is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Delevan, NY and a listed phone number of (716) 492-9450.

NPI 1104136068Delevan, NYSpeech-Language Pathologist

Profile Overview

NPI
1104136068
Provider Type
Individual
Primary Specialty
Speech-Language Pathologist
Enumeration Date
October 13, 2010
Last Updated
October 13, 2010

Practice Location

  • 30 School Street
  • Delevan, NY 14042

Phone: (716) 492-9450

Mailing Address

  • 4809 Mosey Lane
  • Blasdell, NY 14219

Specialties

  • Speech-Language Pathologist (235Z00000X)
Full Record
NPI
1104136068
Entity Type
Individual
Last Name
Freitas
First Name
Marybeth
Middle Name
Christina
Name Prefix
Mrs.
Credential
MS/CCC-SLP
Mailing Street Address
4809 Mosey Lane
Mailing City
Blasdell
Mailing State
NY
Mailing ZIP Code
14219
Mailing Country
US
Mailing Phone
(716) 672-9273
Mailing Fax
(716) 648-0942
Practice Street Address
30 School Street
Practice City
Delevan
Practice State
NY
Practice ZIP Code
14042
Practice Country
US
Practice Phone
(716) 492-9450
Practice Fax
(716) 492-9452
Enumeration Date
October 13, 2010
Last Updated
October 13, 2010
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Speech-Language Pathologist (235Z00000X)