Active NPIIndividual providerSole proprietor

Mary Fourte, MS CCC-SLP

Speech-Language Pathologist, in Staten Island, New York

NPI Number1770711897
Practice location
1535 Richmond Ave, Staten Island, NY 10314-1520
Fax
—
Last updated
June 26, 2009

Mary Fourte is a Speech-Language Pathologist, based in Staten Island, NY. Mary Fourte practices in Staten Island, NY and has the professional credentials of MS CCC-SLP. The NPI Number for Mary Fourte is 1770711897 and holds a License No. 013797-1 (NY). The current practice location address for Mary Fourte is 1535 Richmond Ave, Staten Island, NY 10314-1520 and can be reached out via phone at 718-556-1616.

Provider Profile Details

NPI Number
1770711897
Provider Name
Mary Fourte
Credential
MS CCC-SLP
Provider Entity Type
Individual
Gender
Female
Address
1535 Richmond Ave, Staten Island, NY 10314-1520
Phone Number
718-556-1616
Primary Taxonomy
Speech-Language Pathologist, · 235Z00000X
Sole Proprietor
Yes
Provider Enumeration Date
June 26, 2009
Last Update Date
June 26, 2009
NPI Status
Active

Provider Business Practice Location Address Details

Address
1535 Richmond Ave
Staten Island, NY 10314-1520
Zip
10314-1520
Phone Number
718-556-1616
Staten Island, NY 10314Get directions →

Provider Business Mailing Address Details

Address
331 Orange RD
Montclair, NJ 07042-4311
City
Montclair
State
NJ
Zip
07042-4311

License Information

License Number (1)
013797-1
License State (1)
NY
Taxonomy (1)
Speech-Language Pathologist, · 235Z00000X · Primary
License Number (2)
YS00431600
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 Mary Fourte, MS CCC-SLP?

The NPI number of Mary Fourte, MS CCC-SLP is 1770711897. It was assigned on June 26, 2009 and is currently active in the NPPES registry.

What is the specialty of Mary Fourte, MS CCC-SLP?

Mary Fourte, MS CCC-SLP is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X), licensed in NY under license number 013797-1.

Where does Mary Fourte, MS CCC-SLP practice?

The practice location is 1535 Richmond Ave, Staten Island, NY 10314-1520. The office can be reached at 718-556-1616 (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 1770711897 directly on the NPPES registry website.

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