Mary M. Pool, M.A., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

6497 Issued in NC

Practice address

320 Oak Arbor LN
Winston Salem, NC 27104-3689

Phone

(336) 287-7607

NPI assigned

May 23, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1194935700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 OAK ARBOR LN",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271043689",
            "telephone_number": "336-287-7607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 OAK ARBOR LN",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271043689",
            "telephone_number": "336-287-7607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POOL",
        "first_name": "MARY",
        "middle_name": "M.",
        "name_prefix": "Ms.",
        "credential": "M.A., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-23",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "6497",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7412225",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Frank Edward Pollock Jr., M.D.
• Keri Olivia Pollock, DNP. APRN, AGAC-BC
• Philip Wade Ponder, M.D.
• Cynthia Azam Ponir
• Janardhana Ponnatapura Satyanarayana, MD
• Alexanderia Poole, CPO
• Katie MW Poole, PTA
• Trevor Poole, PA
• Allie Kate Poovey
• Amy Pope, FNP

• Speech-Language Pathologist in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Speech-Language Pathologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.