| Doctor Name: | MRS. MARYBETH CHRISTINA FREITAS |
| NPI Number: | 1104136068 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS/CCC-SLP |
| License Number: | 009884-1 |
| Business Practice Address: | 30 School Street Delevan, NY - 14042 |
| Business Phone Number: | 7164929450 |
| Business Fax Number: | 7164929452 |
| Mailing Address: | 4809 Mosey Lane, BLASDELL |
| State: | NY |
| Postal Code: | 14219 |
| Phone Number: | 7166729273 |
| Fax Number: | 7166480942 |
| NPI Enumeration Date: | 10/13/2010 |
| NPI Last Update Date: | 10/13/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 009884-1 |
| 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 |