Mary Ellen Andrews
Individual provider Active NPI Speech-Language Pathologist · Valatie, NY
NPI 1124387808 · NPPES record last updated May 15, 2012
Key facts
- NPI
- 1124387808
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 009180 (NY)
- Practice address
- 2910 Route 9
Ichabod Crane Central School
Valatie, NY 12184-3002 - Phone
- (518) 758-7575
- NPI assigned
- May 15, 2012
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 009180 | NY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kinderhook Central School District | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 009180 | NY | Yes |
Addresses
Primary practice location
2910 Route 9
Ichabod Crane Central School
Valatie, NY 12184-3002
Mailing address
2910 RT. 9
Valatie, NY 12184
Phone (518) 758-7575
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All providers in Valatie, NY · Speech-Language Pathologist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 15, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.