National Provider Identifier
Mark Kenneth Herbst, MS, CCC/SLP
Mark Kenneth Herbst, MS, CCC/SLP is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Youngstown, NY and a listed phone number of (716) 754-8281.
Profile Overview
- NPI
- 1992014237
- Provider Type
- Individual
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- October 05, 2010
- Last Updated
- October 05, 2010
Practice Location
- 4061 Creek RD
- Youngstown, NY 14174-9609
Phone: (716) 754-8281
Specialties
- Speech-Language Pathologist (235Z00000X)
Full Record
- NPI
- 1992014237
- Entity Type
- Individual
- Last Name
- Herbst
- First Name
- Mark
- Middle Name
- Kenneth
- Name Prefix
- Mr.
- Credential
- MS, CCC/SLP
- Mailing Street Address
- 4061 Creek RD
- Mailing City
- Youngstown
- Mailing State
- NY
- Mailing ZIP Code
- 14174-9609
- Mailing Country
- US
- Mailing Phone
- (716) 754-8281
- Practice Street Address
- 4061 Creek RD
- Practice City
- Youngstown
- Practice State
- NY
- Practice ZIP Code
- 14174-9609
- Practice Country
- US
- Practice Phone
- (716) 754-8281
- Enumeration Date
- October 05, 2010
- Last Updated
- October 05, 2010
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Speech-Language Pathologist (235Z00000X)