Maryann Barricelli
Individual provider Active NPI Speech-Language Pathologist · Middlesex, NJ
NPI 1720693179 · NPPES record last updated Oct 5, 2020
Key facts
- NPI
- 1720693179
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- Practice address
- 131 Cook Ave
Middlesex, NJ 08846-1914 - Phone
- (516) 455-8315
- NPI assigned
- Sep 12, 2020
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Yes |
Addresses
Primary practice location
131 Cook Ave
Middlesex, NJ 08846-1914
Mailing address
131 Cook Ave
Middlesex, NJ 08846-1914
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All providers in Middlesex, NJ · Speech-Language Pathologist in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 5, 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.