Theresa Ann White, M.A., CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Westport, NY
NPI 1841502192 · NPPES record last updated Jul 1, 2010
Key facts
- NPI
- 1841502192
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 019567-1 (NY)
- Practice address
- 150 Redmond Rd
Westport, NY 12993-2529 - Phone
- (518) 536-2537
- Fax
- (518) 837-2009
- NPI assigned
- Jul 1, 2010
- 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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019567-1 | NY | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 019567-1 | NY | Yes |
Addresses
Primary practice location
150 Redmond Rd
Westport, NY 12993-2529
Mailing address
150 Redmond Rd
Westport, NY 12993-2529
Phone (518) 536-2537
Other providers in Westport, NY
- Cara Ann Graves
- Mental Health Association in Essex County, Inc.
- Dana M Taussig
- Westport Central School District
- Westport Fire District
All providers in Westport, 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 1, 2010. 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.