Marie Frances Mazza, CCC-SLP

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

NPI 1104077239 · NPPES record last updated Oct 7, 2008

Key facts

NPI
1104077239
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
016045-1 (NY)
Practice address
2 Dragotta Rd
Marlboro, NY 12542-6400
Phone
(845) 236-7349
NPI assigned
Oct 7, 2008
Sex
Female
Sole proprietor
Yes

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
016045-1NYMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 016045-1 NY Yes

Addresses

Primary practice location

2 Dragotta Rd
Marlboro, NY 12542-6400

Mailing address

2 Dragotta Rd
Marlboro, NY 12542-6400
Phone (845) 236-7349

Other providers in Marlboro, NY

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

Sources for this page

Verify at the official NPI Registry.