National Provider Identifier

Mary B Smith

Mary B Smith is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Cassadaga, NY and a listed phone number of (716) 595-3070.

NPI 1962774257Cassadaga, NYSpeech-Language Pathologist

Profile Overview

NPI
1962774257
Provider Type
Individual
Primary Specialty
Speech-Language Pathologist
Enumeration Date
February 01, 2012
Last Updated
June 29, 2020

Practice Location

  • 175 Maple Ave
  • Cassadaga Elementary School
  • Cassadaga, NY 14718

Phone: (716) 595-3070

Mailing Address

  • PO Box 540
  • Rt 60
  • Sinclairville, NY 14782

Specialties

  • Speech-Language Pathologist (235Z00000X)

Endpoints

  • 008775

    Connect Url | Cassadaga, NY 14718

    License Number

Full Record
NPI
1962774257
Entity Type
Individual
Last Name
Smith
First Name
Mary
Middle Name
B
Mailing Street Address
PO Box 540
Mailing Address Line 2
Rt 60
Mailing City
Sinclairville
Mailing State
NY
Mailing ZIP Code
14782
Mailing Country
US
Mailing Phone
(716) 962-5155
Mailing Fax
(716) 962-5976
Practice Street Address
175 Maple Ave
Practice Address Line 2
Cassadaga Elementary School
Practice City
Cassadaga
Practice State
NY
Practice ZIP Code
14718
Practice Country
US
Practice Phone
(716) 595-3070
Practice Fax
(716) 595-2481
Enumeration Date
February 01, 2012
Last Updated
June 29, 2020
Sex
Female
Sole Proprietor
No
Certification Date
June 29, 2020
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Speech-Language Pathologist (235Z00000X)
Other Identifiers
008775 (NY)