Mary Elizabeth Avery, MS, CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Crestwood, KY
NPI 1386952166 · NPPES record last updated Jul 8, 2020
Key facts
- NPI
- 1386952166
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 3806 (KY)
- Practice address
- 6317 Highway 329
Crestwood, KY 40014-9040 - Phone
- (502) 384-0910
- NPI assigned
- Sep 15, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3806 | KY | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ascb Therapy LLC | Speech-Language Pathologist | Past |
Accepting new patients |
| Julie Murray Inc/Chatter Box | Past |
Accepting new patients | |
| The Chatter Box LLC | Speech-Language Pathologist | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 3806 | KY | Yes |
Addresses
Primary practice location
6317 Highway 329
Crestwood, KY 40014-9040
Mailing address
4515 Timothy Way
Crestwood, KY 40014-9161
Phone (502) 797-9681
Other practice location 1
4603 Timberwalk Ct
LA Grange, KY 40031-6746
Phone (703) 575-8129
Other names
- Mary Beth Russell
Other providers in Crestwood, KY
- Noah Ansert
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- Katarina Maria Ashburn
- Associates in Pediatric Therapy, LLC
- Jonathan S Austin
- Emily Catherine Bald
- Tina Marie Baldwin
- Ann Banton
- Baryeh Homecare Solutions
- Baryeh Homecare Solutions LLC
All providers in Crestwood, KY · Speech-Language Pathologist in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2020. 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.