National Provider Identifier

Mary E. Faas Mundy

Mary E. Faas Mundy is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Fairport, NY and a listed phone number of (585) 377-4660.

NPI 1689960098Fairport, NYSpeech-Language Pathologist

Profile Overview

NPI
1689960098
Provider Type
Individual
Primary Specialty
Speech-Language Pathologist
Enumeration Date
June 23, 2011
Last Updated
August 11, 2011

Practice Location

  • 41 Oconnor RD
  • Fairport, NY 14450-1327

Phone: (585) 377-4660

Specialties

  • Speech-Language Pathologist (235Z00000X)
Full Record
NPI
1689960098
Entity Type
Individual
Last Name
Mundy
First Name
Mary
Middle Name
E. Faas
Provider Other Last Name
Mundy
Provider Other First Name
Mary
Provider Other Middle Name
E. Faas
Provider Other Last Name Type Code
2
Mailing Street Address
41 Oconnor RD
Mailing City
Fairport
Mailing State
NY
Mailing ZIP Code
14450-1327
Mailing Country
US
Mailing Phone
(585) 377-4660
Practice Street Address
41 Oconnor RD
Practice City
Fairport
Practice State
NY
Practice ZIP Code
14450-1327
Practice Country
US
Practice Phone
(585) 377-4660
Enumeration Date
June 23, 2011
Last Updated
August 11, 2011
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Speech-Language Pathologist (235Z00000X)