National Provider Identifier
Mary Lisa Maslyn, SPEECH LANGUAGE PATH
Mary Lisa Maslyn, SPEECH LANGUAGE PATH is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Newark, NY and a listed phone number of (315) 331-1700.
Profile Overview
- NPI
- 1215221130
- Provider Type
- Individual
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- June 08, 2011
- Last Updated
- June 08, 2011
Practice Location
- 703 E. Maple Avenue
- Newark, NY 14513
Phone: (315) 331-1700
Specialties
- Speech-Language Pathologist (235Z00000X)
Full Record
- NPI
- 1215221130
- Entity Type
- Individual
- Last Name
- Maslyn
- First Name
- Mary
- Middle Name
- Lisa
- Name Prefix
- Mrs.
- Credential
- SPEECH LANGUAGE PATH
- Provider Other Last Name
- Cornwell
- Provider Other First Name
- Mary
- Provider Other Middle Name
- Lisa
- Provider Other Name Prefix Text
- Miss
- Provider Other Credential Text
- SPEECH LANGUAGE PATH
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 703 E. Maple Avenue
- Mailing City
- Newark
- Mailing State
- NY
- Mailing ZIP Code
- 14513
- Mailing Country
- US
- Mailing Phone
- (315) 331-1700
- Practice Street Address
- 703 E. Maple Avenue
- Practice City
- Newark
- Practice State
- NY
- Practice ZIP Code
- 14513
- Practice Country
- US
- Practice Phone
- (315) 331-1700
- Practice Fax
- (315) 331-9233
- Enumeration Date
- June 08, 2011
- Last Updated
- June 08, 2011
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Speech-Language Pathologist (235Z00000X)