Theresa Faughnan, M.A.
Individual provider Active NPI Audiologist · Tuckahoe, NY
NPI 1992976963 · NPPES record last updated Jan 6, 2009
Key facts
- NPI
- 1992976963
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Audiologist 231H00000X
- License
- 000842-1 (NY)
- Practice address
- 1 Elm St
Tuckahoe, NY 10707-3925 - Phone
- (914) 961-2515
- Fax
- (914) 961-2628
- NPI assigned
- Mar 18, 2008
- 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)
- Yes
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000842-1 | NY | MD | Mental Health Counselor |
| 000842 | NY | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 000842-1 | NY | Yes |
Addresses
Primary practice location
1 Elm St
Tuckahoe, NY 10707-3925
Mailing address
1 Elm St
Tuckahoe, NY 10707-3925
Phone (914) 961-2515
Other providers in Tuckahoe, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 6, 2009. 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.