| Doctor Name: | MARYDEL WYPYCH |
| NPI Number: | 1003917428 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.S. CCC-SLP |
| License Number: | 002272 |
| Business Practice Address: | 2300 Buffalo Rd Bldg. 100-a Rochester, NY - 146241360 |
| Business Phone Number: | 5852541590 |
| Business Fax Number: | 5852541605 |
| Mailing Address: | 495 Rockingham St, ROCHESTER |
| State: | NY |
| Postal Code: | 146202517 |
| Phone Number: | 5852541590 |
| Fax Number: | 5852541605 |
| NPI Enumeration Date: | 09/26/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 002272 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Speech-Language Pathologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A speech pathologist is a person qualified by a master |