Mary J Roulston
Individual provider Active NPI Speech-Language Pathologist · Jamesville, NY
NPI 1831474626 · NPPES record last updated Jul 26, 2026
Key facts
- NPI
- 1831474626
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 009502 (NY)
- Practice address
- 5197 Pointe East Dr
Jamesville, NY 13078-8730 - Phone
- (315) 439-3329
- NPI assigned
- Oct 12, 2011
- 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)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 009502 | NY | MD | Optometrist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 009502 | NY | Yes |
Addresses
Primary practice location
5197 Pointe East Dr
Jamesville, NY 13078-8730
Mailing address
5197 Pointe East Dr
Jamesville, NY 13078-8730
Phone (315) 439-3329
Other providers in Jamesville, NY
- Betty Jean Raulli
- Joseph Oren Reagan
- Regina M. Devito, O.D., P.C.
- Morgan Riley
- Gail Adeline Rosenholm
- Shreyas Kumar Roy
- Adam Henry Ruszkowski
- Melody Scanlon
- Kayla Schoen
- Chartele Scott
All providers in Jamesville, 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 Jul 26, 2026. 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.