Mary Lisa Maslyn, SPEECH LANGUAGE PATH

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

003070-1 Issued in NY

Practice address

703 E. Maple Avenue
Newark, NY 14513

Phone

(315) 331-1700

Fax

(315) 331-9233

NPI assigned

Jun 8, 2011

Last updated

Jun 8, 2011By the provider in NPPES

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

• Miss Mary Lisa Cornwell 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": "1307491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307491200000",
    "number": "1215221130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 E. MAPLE AVENUE",
            "city": "NEWARK",
            "state": "NY",
            "postal_code": "14513",
            "telephone_number": "315-331-1700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 E. MAPLE AVENUE",
            "city": "NEWARK",
            "state": "NY",
            "postal_code": "14513",
            "telephone_number": "315-331-1700",
            "fax_number": "315-331-9233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASLYN",
        "first_name": "MARY",
        "middle_name": "LISA",
        "name_prefix": "Mrs.",
        "credential": "SPEECH LANGUAGE PATH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-08",
        "last_updated": "2011-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "003070-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "CORNWELL",
            "middle_name": "LISA",
            "prefix": "MISS",
            "credential": "SPEECH LANGUAGE PATH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ashley Martin, LPN
• Christina Jill Martin
• Cynthia Christine Martinez-Capolino, MD
• Laura J Martino
• Anthony H Mascioli, DPM
• Lekeshia Bernadette Mason, LPN
• Tamasha Marie Mateo, RN
• Zoe Mattice
• Lisa Mattoon, SPECIAL ED. TEACHER
• Michelle Jean McDonald

• Speech-Language Pathologist in Newark, NY
• Providers in Newark, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2011; 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.