Doctor Name: | MISS ALLISON P MARYANSKI |
NPI Number: | 1245542257 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSED, CCC, L-SLP |
License Number: | 0200161 |
Business Practice Address: | 697 Ridge Rd Lackawanna, NY - 142181500 |
Business Phone Number: | 7168224781 |
Business Fax Number: | |
Mailing Address: | 5390 Bay View Rd, HAMBURG |
State: | NY |
Postal Code: | 140751627 |
Phone Number: | 7169069000 |
Fax Number: | |
NPI Enumeration Date: | 07/07/2010 |
NPI Last Update Date: | 07/07/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 0200161 |
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 |