National Provider Identifier

Mary Margaret Elwell, C.C.C./LSP

Mary Margaret Elwell, C.C.C./LSP is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Williamson, NY and a listed phone number of (315) 589-2400.

NPI 1407131170Williamson, NYSpeech-Language Pathologist

Profile Overview

NPI
1407131170
Provider Type
Individual
Primary Specialty
Speech-Language Pathologist
Enumeration Date
October 13, 2011
Last Updated
October 13, 2011

Practice Location

  • 4440 Ridge RD
  • Williamson, NY 14589-9382

Phone: (315) 589-2400

Mailing Address

  • 131 Drumlin Ct
  • Newark, NY 14513-1863

Specialties

  • Speech-Language Pathologist (235Z00000X)
Full Record
NPI
1407131170
Entity Type
Individual
Last Name
Elwell
First Name
Mary
Middle Name
Margaret
Name Prefix
Mrs.
Credential
C.C.C./LSP
Mailing Street Address
131 Drumlin Ct
Mailing City
Newark
Mailing State
NY
Mailing ZIP Code
14513-1863
Mailing Country
US
Mailing Phone
(315) 332-7400
Practice Street Address
4440 Ridge RD
Practice City
Williamson
Practice State
NY
Practice ZIP Code
14589-9382
Practice Country
US
Practice Phone
(315) 589-2400
Practice Fax
(315) 589-2670
Enumeration Date
October 13, 2011
Last Updated
October 13, 2011
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Speech-Language Pathologist (235Z00000X)