Darrel P. Ford, MS CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Bayport, NY
NPI 1942582606 · NPPES record last updated Sep 19, 2011
Key facts
- NPI
- 1942582606
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 012003 (NY)
- Practice address
- 391 Middle Rd
Bayport, NY 11705-1911 - Phone
- (631) 472-0092
- NPI assigned
- Sep 19, 2011
- Sex
- Male
- 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 Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 012003 | NY | MD | Veterinarian |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 012003 | NY | Yes |
Addresses
Primary practice location
391 Middle Rd
Bayport, NY 11705-1911
Mailing address
391 Middle Rd
Bayport, NY 11705-1911
Phone (631) 472-0092
Other providers in Bayport, NY
- Kellyjean Farrell
- Doreen Faulk
- Najeri Felton
- Tabrina Fitzgerald
- Maureen Flynn-Ferrante
- David Alexander Foster
- Fostering Wellness Marriage and Family Therapy
- Dean Francis Fox
- Peyton Franco
- Function Physical Therapy and Chiropractic PLLC
All providers in Bayport, 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 Sep 19, 2011. 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.