Mary Balfour, M.S., CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Dryden, NY
NPI 1942589015 · NPPES record last updated May 22, 2014
Key facts
- NPI
- 1942589015
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 021218-1 (NY)
- Practice address
- 36 Union Street
Dryden, NY 13053 - Phone
- (607) 844-8694
- Fax
- (607) 844-9449
- NPI assigned
- Aug 8, 2011
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| 021218-1 | NY | MD | Medical Physician Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 021218-1 | NY | Yes |
Addresses
Primary practice location
36 Union Street
Dryden, NY 13053
Mailing address
36 Union Street
Dryden, NY 13053-1200
Phone (607) 844-8694
Other providers in Dryden, NY
- Mary Jane Ackroyd
- Lauren Akselrod
- Leslie Ruth Allerton-Moffitt
- Edith A Ayer
- Arlene Frances Bahar
- Jessica Baumgold
- Kate Benas
- Travis Eugene Berggren
- Lynn Suzanne Boettger
- Jeffrey Linn Bookhout
All providers in Dryden, 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 May 22, 2014. 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.