Active NPI
Maria L Malek, MS. CCC-SLP
- Speech-Language Pathologist
- Sierra Vista, AZ
National Provider Identifier
1366269664
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SL012139
- Practice address
- 3305 E Fry Blvd
Sierra Vista, AZ 85635-2990 - Phone
- (520) 515-2980
- NPI assigned
- Sep 26, 2024
- Last updated
- Sep 26, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SL012139 | PA | Primary |
Addresses
Primary practice location
3305 E Fry Blvd
Sierra Vista, AZ 85635-2990
Mailing address
1926 Menoher Blvd
Johnstown, PA 15905-1727
Phone (814) 322-5563
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SL012139 | PA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1727308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727308800000",
"number": "1366269664",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1926 MENOHER BLVD",
"city": "JOHNSTOWN",
"state": "PA",
"postal_code": "159051727",
"telephone_number": "814-322-5563"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3305 E FRY BLVD",
"city": "SIERRA VISTA",
"state": "AZ",
"postal_code": "856352990",
"telephone_number": "520-515-2980"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALEK",
"first_name": "MARIA",
"middle_name": "L",
"credential": "MS. CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-09-26",
"last_updated": "2024-09-26",
"certification_date": "2024-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "PA",
"license": "SL012139",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sierra Vista, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.