Doctor Name: | MARY E PRZYBYSZ |
NPI Number: | 1912162348 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CCC/SLP |
License Number: | 018109 |
Business Practice Address: | 6167 W Quaker St Orchard Park, NY - 141272640 |
Business Phone Number: | 7166624800 |
Business Fax Number: | |
Mailing Address: | 302 Colvin Ave, BUFFALO |
State: | NY |
Postal Code: | 142162337 |
Phone Number: | 7166046943 |
Fax Number: | |
NPI Enumeration Date: | 07/24/2008 |
NPI Last Update Date: | 04/12/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 018109 |
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 |