Reta Wedderburn-Marshall, TSHH

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

106 Appenheimer Ave
PS # 89
Buffalo, NY 14214-2918

Phone

(716) 816-4110

NPI assigned

Sep 20, 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1284940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284940800000",
    "number": "1952619256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "954 PARKSIDE AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142162144",
            "telephone_number": "716-834-0598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 APPENHEIMER AVE",
            "address_2": "PS # 89",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142142918",
            "telephone_number": "716-816-4110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEDDERBURN-MARSHALL",
        "first_name": "RETA",
        "credential": "TSHH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-20",
        "last_updated": "2010-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE EDUCATION DEPARTMENT",
            "identifier": "443846921",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bradley Roy Webster, M.D./PHD
• Charles Webster, MD
• Molly Webster, FNP
• Nathan Jaleel Webster
• Nathaniel C. Webster, MD
• Katelyn Wedel
• Cristi Morgan Wedgwood, RPAC
• Ebone Wedlington
• J. Lynnette Wee, PHD
• Sarah R Weeden, LPN

• Speech-Language Pathologist in Buffalo, NY
• Providers in Buffalo, 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 Sep 20, 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.