National Provider Identifier
Mary Ann Squillaro Simpson, M.A.CCC-SLP
Mary Ann Squillaro Simpson, M.A.CCC-SLP is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Ithaca, NY and a listed phone number of (607) 539-6333.
Profile Overview
- NPI
- 1275764839
- Provider Type
- Individual
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- July 30, 2009
- Last Updated
- July 30, 2009
Practice Location
- 29 Woodlane RD
- Ithaca, NY 14850-9640
Phone: (607) 539-6333
Specialties
- Speech-Language Pathologist (235Z00000X)
Full Record
- NPI
- 1275764839
- Entity Type
- Individual
- Last Name
- Simpson
- First Name
- Mary Ann
- Middle Name
- Squillaro
- Name Prefix
- MS.
- Credential
- M.A.CCC-SLP
- Mailing Street Address
- 29 Woodlane RD
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850-9640
- Mailing Country
- US
- Mailing Phone
- (607) 539-6333
- Practice Street Address
- 29 Woodlane RD
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-9640
- Practice Country
- US
- Practice Phone
- (607) 539-6333
- Enumeration Date
- July 30, 2009
- Last Updated
- July 30, 2009
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Speech-Language Pathologist (235Z00000X)