Individual provider · Type 1 NPI

Mary Roosa, CCC-SLP

Speech-Language Pathologist · Port Ewen, NY

NPI number 1811274566 Active

Practice location

345 Mountain View Avenue
Port Ewen, NY 12466-0549

Mailing address

61 Crown St
Kingston, NY 12401-3833

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist Primary 235Z00000X006248 (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 1811274566

Mary Roosa, CCC-SLP's National Provider Identifier is 1811274566, issued on Nov 9, 2011. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Port Ewen, NY. The record was last updated on Oct 12, 2012.