Mary J Farley, MACCCSLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP17060 Issued in CA

Practice address

3508 Five Mile Dr
Stockton, CA 95219-3156

Phone

(570) 470-0301

NPI assigned

Sep 3, 2008

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Mary J Spinner Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1220400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220400000000",
    "number": "1083862189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3508 FIVE MILE DR",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952193156",
            "telephone_number": "570-470-0301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3508 FIVE MILE DR",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952193156",
            "telephone_number": "570-470-0301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARLEY",
        "first_name": "MARY",
        "middle_name": "J",
        "credential": "MACCCSLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-03",
        "last_updated": "2008-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SP17060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "SPINNER",
            "middle_name": "J",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Fateme Farhoudi, MD
• Adrian Farias
• Angela Farias
• Ariadna Farias
• Khanh Farkas, DNP- ARNP
• Kaitlyn Denise Farmer
• Phyllis Farmer
• Natalie Collette Farnsworth, PH.D.
• Anisa Wajiba Farooqi
• Yeva Farr

• Speech-Language Pathologist in Stockton, CA
• Providers in Stockton, CA by specialty
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.