Marie L. Hayes, SLP

Individual provider Active NPI Speech-Language Pathologist · Nedrow, NY

NPI 1861762015 · NPPES record last updated Jan 5, 2012

Key facts

NPI
1861762015
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
0081151 (NY)
Practice address
31 RT 11a
Nedrow, NY 13120
Phone
(315) 469-6911
NPI assigned
Jan 5, 2012
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

LicenseStateTypeSpecialty
0081151NYMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 0081151 NY Yes

Addresses

Primary practice location

31 RT 11a
Nedrow, NY 13120

Mailing address

800 E Genesee St
Fayetteville, NY 13066-1522
Phone (315) 637-4859

Other providers in Nedrow, NY

All providers in Nedrow, NY · Speech-Language Pathologist in New York

Sources for this page

Verify at the official NPI Registry.