Active NPIIndividual providerSole proprietor

Mary Randall

Speech-Language Pathologist, in Mamaroneck, New York

NPI Number1205449147
Practice location
1000 W Boston Post RD, Mamaroneck, NY 10543-3328
Fax
—
Last updated
August 30, 2020

Mary Randall is a Speech-Language Pathologist, based in Mamaroneck, NY. Mary Randall practices in Mamaroneck, NY. The NPI Number for Mary Randall is 1205449147 and holds a License No. 028613-1 (NY). The current practice location address for Mary Randall is 1000 W Boston Post RD, Mamaroneck, NY 10543-3328 and can be reached out via phone at 914-220-3060.

Provider Profile Details

NPI Number
1205449147
Provider Name
Mary Randall
Provider Entity Type
Individual
Gender
Female
Address
1000 W Boston Post RD, Mamaroneck, NY 10543-3328
Phone Number
914-220-3060
Primary Taxonomy
Speech-Language Pathologist, · 235Z00000X
Sole Proprietor
Yes
Provider Enumeration Date
August 30, 2020
Last Update Date
August 30, 2020
Certification Date
August 30, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
1000 W Boston Post RD
Mamaroneck, NY 10543-3328
Zip
10543-3328
Phone Number
914-220-3060
Mamaroneck, NY 10543Get directions →

Provider Business Mailing Address Details

Address
Po Box 5312
Brookfield, CT 06804-5312
City
Brookfield
State
CT
Zip
06804-5312
Phone Number
860-488-4479

License Information

License Number
028613-1
License State
NY
Taxonomy
Speech-Language Pathologist, · 235Z00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mary Randall?

The NPI number of Mary Randall is 1205449147. It was assigned on August 30, 2020 and is currently active in the NPPES registry.

What is the specialty of Mary Randall?

Mary Randall is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X), licensed in NY under license number 028613-1.

Where does Mary Randall practice?

The practice location is 1000 W Boston Post RD, Mamaroneck, NY 10543-3328. The office can be reached at 914-220-3060 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1205449147 directly on the NPPES registry website.

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