National Provider Identifier

Theresa Marie Mobarhan, M.S.CCC-SLP

Theresa Marie Mobarhan, M.S.CCC-SLP is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Cheektowaga, NY and a listed phone number of (716) 207-8979.

NPI 1750797916Cheektowaga, NYSpeech-Language Pathologist

Profile Overview

NPI
1750797916
Provider Type
Individual
Primary Specialty
Speech-Language Pathologist
Enumeration Date
July 09, 2014
Last Updated
January 09, 2020

Practice Location

  • 4635 Union RD
  • Cheektowaga, NY 14225-1851

Phone: (716) 207-8979

Mailing Address

  • 462 Grider St
  • Buffalo, NY 14215-3021

Specialties

  • Speech-Language Pathologist (235Z00000X)
Full Record
NPI
1750797916
Entity Type
Individual
Last Name
Mobarhan
First Name
Theresa
Middle Name
Marie
Name Prefix
Mrs.
Credential
M.S.CCC-SLP
Provider Other Last Name
Weimer
Provider Other First Name
Theresa
Provider Other Middle Name
Marie
Provider Other Name Prefix Text
MS.
Provider Other Credential Text
M.S.CCC-SLP
Provider Other Last Name Type Code
1
Mailing Street Address
462 Grider St
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14215-3021
Mailing Country
US
Mailing Phone
(716) 816-4080
Practice Street Address
4635 Union RD
Practice City
Cheektowaga
Practice State
NY
Practice ZIP Code
14225-1851
Practice Country
US
Practice Phone
(716) 207-8979
Enumeration Date
July 09, 2014
Last Updated
January 09, 2020
Sex
Female
Sole Proprietor
No
Certification Date
January 09, 2020
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Speech-Language Pathologist (235Z00000X)