Individual provider · Type 1 NPI

Mary Provenzano

Speech-Language Pathologist · Webster, NY

NPI number 1285911701 Active

Practice location

119 South Ave
Webster, NY 14580-3559

Call (585) 216-0000 Map

Mailing address

1867 State Rd
Webster, NY 14580-9303

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist Primary 235Z00000X008559 (NY)

Speech-Language Pathologist: The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonan…

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About NPI 1285911701

Mary Provenzano's National Provider Identifier is 1285911701, issued on Nov 11, 2011. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Webster, NY. The record was last updated on Nov 11, 2011.