Mary Evans-Welpe

Individual provider Active NPI Speech-Language Pathologist · Norwood, NY

NPI 1053628537 · NPPES record last updated Sep 7, 2010

Key facts

NPI
1053628537
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
004939 (NY)
Practice address
7229 State Highway 56
Norwood, NY 13668-3238
Phone
(315) 353-6168
NPI assigned
Sep 7, 2010
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
004939NYMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 004939 NY Yes

Addresses

Primary practice location

7229 State Highway 56
Norwood, NY 13668-3238

Mailing address

7229 State Highway 56
Norwood, NY 13668-3238

Other providers in Norwood, NY

All providers in Norwood, NY · Speech-Language Pathologist in New York

Sources for this page

Verify at the official NPI Registry.