Wendy Marie Mock, M.A., CCC- SLP, TSHH

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

014782-1 Issued in NY

Practice address

450 Nassau Blvd
West Hempstead, NY 11552-2852

Phone

(516) 390-3160

Fax

(516) 489-8946

NPI assigned

Oct 15, 2010

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1287100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287100800000",
    "number": "1891005500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 NASSAU BLVD",
            "city": "WEST HEMPSTEAD",
            "state": "NY",
            "postal_code": "115522852",
            "telephone_number": "516-390-3160",
            "fax_number": "516-489-8946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 NASSAU BLVD",
            "city": "WEST HEMPSTEAD",
            "state": "NY",
            "postal_code": "115522852",
            "telephone_number": "516-390-3160",
            "fax_number": "516-489-8946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOCK",
        "first_name": "WENDY",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "M.A., CCC- SLP, TSHH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-15",
        "last_updated": "2010-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "014782-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in West Hempstead, NY
• Providers in West Hempstead, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.