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Maria Michelle Fareri, M.S., CCC-SLP

Speech-Language Pathologist, in Ridgewood, NY. Individual provider (NPI-1).

NPI number1487931366
StatusActive
Last updated in NPPESNov 7, 2011

Details

NPI
1487931366
Entity type
Individual (NPI-1)
Name
Mrs. Maria Michelle Fareri
Credential
M.S., CCC-SLP
Sex
Female
Sole proprietor
Yes
Enumeration date
Nov 7, 2011
Last updated
Nov 7, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
235Z00000X Speech-Language Pathologist,019610-1NYYes

Other names

  • Maria Michelle D'Angelo (Professional Name)

Practice location

6335 60th Pl
Ridgewood, NY 11385-2040

Phone 917-613-0466

Mailing address

6335 60th Pl
Ridgewood, NY 11385-2040

Phone 917-613-0466

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