Active NPIIndividual provider

Mary Kostiuk, MCD, CCC-SLP

Speech-Language Pathologist, in Medford, New Jersey

NPI Number1669177135
Practice location
46 Holly Dr, Medford, NJ 08055-8844
Fax
—
Last updated
April 3, 2023

Mary Kostiuk is a Speech-Language Pathologist, based in Medford, NJ. Mary Kostiuk practices in Medford, NJ and has the professional credentials of MCD, CCC-SLP. The NPI Number for Mary Kostiuk is 1669177135 and holds a License No. 41YS01102800 (NJ). The current practice location address for Mary Kostiuk is 46 Holly Dr, Medford, NJ 08055-8844 and can be reached out via phone at 856-912-8885.

Provider Profile Details

NPI Number
1669177135
Provider Name
Mary Kostiuk
Credential
MCD, CCC-SLP
Provider Entity Type
Individual
Gender
Female
Address
46 Holly Dr, Medford, NJ 08055-8844
Phone Number
856-912-8885
Primary Taxonomy
Speech-Language Pathologist, · 235Z00000X
Sole Proprietor
No
Provider Enumeration Date
April 3, 2023
Last Update Date
April 3, 2023
Certification Date
April 3, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
46 Holly Dr
Medford, NJ 08055-8844
Zip
08055-8844
Phone Number
856-912-8885
Medford, NJ 08055Get directions →

Provider Business Mailing Address Details

Address
46 Holly Dr
Medford, NJ 08055-8844
City
Medford
State
NJ
Zip
08055-8844
Phone Number
856-912-8885

License Information

License Number
41YS01102800
License State
NJ
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 Kostiuk, MCD, CCC-SLP?

The NPI number of Mary Kostiuk, MCD, CCC-SLP is 1669177135. It was assigned on April 3, 2023 and is currently active in the NPPES registry.

What is the specialty of Mary Kostiuk, MCD, CCC-SLP?

Mary Kostiuk, MCD, CCC-SLP is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X), licensed in NJ under license number 41YS01102800.

Where does Mary Kostiuk, MCD, CCC-SLP practice?

The practice location is 46 Holly Dr, Medford, NJ 08055-8844. The office can be reached at 856-912-8885 (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 1669177135 directly on the NPPES registry website.

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