Doctor Name: | MRS. MARYANN ELIZABETH MASSARI |
NPI Number: | 1811142573 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA, CCC-SLP/TSHH |
License Number: | 013002-1 |
Business Practice Address: | 16 Post St Glen Head, NY - 115451809 |
Business Phone Number: | 3475396427 |
Business Fax Number: | 7188999061 |
Mailing Address: | 16 Post St, GLEN HEAD |
State: | NY |
Postal Code: | 115451809 |
Phone Number: | 3475396427 |
Fax Number: | 7188999061 |
NPI Enumeration Date: | 11/22/2008 |
NPI Last Update Date: | 11/22/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 013002-1 |
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 |