Provider Demographics
NPI:1326204470
Name:BADAME-MORABITO, MARIA L (SLP)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:L
Last Name:BADAME-MORABITO
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:MARIA
Other - Middle Name:L
Other - Last Name:BADAME-MORABITO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:SLP
Mailing Address - Street 1:3344 JOSHUA LN
Mailing Address - Street 2:
Mailing Address - City:NORTH TONAWANDA
Mailing Address - State:NY
Mailing Address - Zip Code:14120-1280
Mailing Address - Country:US
Mailing Address - Phone:716-694-8252
Mailing Address - Fax:
Practice Address - Street 1:6167 W QUAKER ST
Practice Address - Street 2:
Practice Address - City:ORCHARD PARK
Practice Address - State:NY
Practice Address - Zip Code:14127-2640
Practice Address - Country:US
Practice Address - Phone:716-662-4800
Practice Address - Fax:716-662-5700
Is Sole Proprietor?:No
Enumeration Date:2008-07-29
Last Update Date:2019-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY007339-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist