Wellformed AI

NPI 1649604109 · live from the CMS NPI Registry

Audiology And Speech Solutions

Audiologist in Rye, NY. National Provider Identifier 1649604109, active.

NPI record

NPI1649604109 Type 2 · organization
StatusActive
Primary specialtyAudiologist 231H00000X
Practice location350 Theodore Fremd Ave, Rye, NY 10580
Practice phone914-588-8088
EnumeratedSeptember 2, 2013
Last updatedOctober 28, 2013
Authorized officialNancy Datino, Executive Director

Taxonomies and licenses

TaxonomyCodeLicense
Speech-Language Pathologist, 235Z00000X7546 (NY)
Speech-Language Pathologist, 235Z00000X4589 (CT)
Audiologist primary231H00000X653 (NY)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.