Bridget Marren
Individual provider Active NPI Speech-Language Pathologist · Colden, NY
NPI 1730450149 · NPPES record last updated Jan 17, 2012
Key facts
- NPI
- 1730450149
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 0006772 (NY)
- Practice address
- 7703 State Rd
Colden, NY 14033-9740 - Phone
- (716) 510-9695
- NPI assigned
- Jan 17, 2012
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0006772 | NY | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 0006772 | NY | Yes |
Addresses
Primary practice location
7703 State Rd
Colden, NY 14033-9740
Mailing address
7703 State Rd
Colden, NY 14033-9740
Phone (716) 510-9695
Other providers in Colden, NY
- Colden Fire District No 1
- Michael A Dingman
- Brittney Gawel
- Meagan Gill
- Kathryn Roberts
- Leah Worthington
All providers in Colden, NY · Speech-Language Pathologist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 17, 2012. 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.