Active NPIIndividual providerSole proprietor

Ms. Jean M Massaro, MA, CCC, SLP

Speech-Language Pathologist, in Suffern, New York

NPI Number1588964571
Practice location
12 Forest Knoll Dr, Suffern, NY 10901-7638
Fax
—
Last updated
October 25, 2010

Jean M Massaro is a Speech-Language Pathologist, based in Suffern, NY. Jean M Massaro practices in Suffern, NY and has the professional credentials of MA, CCC, SLP. The NPI Number for Jean M Massaro is 1588964571 and holds a License No. 005040 (NY). The current practice location address for Jean M Massaro is 12 Forest Knoll Dr, Suffern, NY 10901-7638 and can be reached out via phone at 845-368-3585.

Provider Profile Details

NPI Number
1588964571
Provider Name
Jean M Massaro
Credential
MA, CCC, SLP
Provider Entity Type
Individual
Gender
Female
Address
12 Forest Knoll Dr, Suffern, NY 10901-7638
Phone Number
845-368-3585
Primary Taxonomy
Speech-Language Pathologist, · 235Z00000X
Sole Proprietor
Yes
Provider Enumeration Date
October 25, 2010
Last Update Date
October 25, 2010
NPI Status
Active

Provider Business Practice Location Address Details

Address
12 Forest Knoll Dr
Suffern, NY 10901-7638
Zip
10901-7638
Phone Number
845-368-3585
Suffern, NY 10901Get directions →

Provider Business Mailing Address Details

Address
12 Forest Knoll Dr
Suffern, NY 10901-7638
City
Suffern
State
NY
Zip
10901-7638
Phone Number
845-368-3585

License Information

License Number (1)
005040
License State (1)
NY
Taxonomy (1)
Speech-Language Pathologist, · 235Z00000X · Primary
License Number (2)
41YS00116400
License State (2)
NJ
Taxonomy (2)
Speech-Language Pathologist, · 235Z00000X

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 Ms. Jean M Massaro, MA, CCC, SLP?

The NPI number of Ms. Jean M Massaro, MA, CCC, SLP is 1588964571. It was assigned on October 25, 2010 and is currently active in the NPPES registry.

What is the specialty of Ms. Jean M Massaro, MA, CCC, SLP?

Ms. Jean M Massaro, MA, CCC, SLP is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X), licensed in NY under license number 005040.

Where does Ms. Jean M Massaro, MA, CCC, SLP practice?

The practice location is 12 Forest Knoll Dr, Suffern, NY 10901-7638. The office can be reached at 845-368-3585 (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 1588964571 directly on the NPPES registry website.

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