NPI 1396547048 · live from the CMS NPI Registry
Mary K Adams, MS, CCC-SLP
Speech-Language Pathologist, in Fort Myers, FL. National Provider Identifier 1396547048, active.
NPI record
| NPI | 1396547048 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Speech-Language Pathologist, 235Z00000X |
| Practice location | 180 Schneider Dr, Fort Myers, FL 33905 |
| Practice phone | 239-310-1081 |
| Enumerated | March 25, 2025 |
| Last updated | May 8, 2025 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Developmental Therapist | 222Q00000X | SA10418 (FL) |
| Early Intervention Provider Agency | 252Y00000X | SA10418 (FL) |
| Clinic/Center | 261Q00000X | SA10418 (FL) |
| Speech-Language Pathologist, primary | 235Z00000X | SA10418 (FL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.