Provider Demographics
NPI:1891857942
Name:ANDRIANOPOULOS, MARY V (PHD)
Entity Type:Individual
Prefix:DR
First Name:MARY
Middle Name:V
Last Name:ANDRIANOPOULOS
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:358 N PLEASANT ST
Mailing Address - Street 2:DEPARTMENT OF COMMUNICATION DISORDERS UMASS-AMHERST
Mailing Address - City:AMHERST
Mailing Address - State:MA
Mailing Address - Zip Code:01003-9296
Mailing Address - Country:US
Mailing Address - Phone:413-545-0551
Mailing Address - Fax:413-545-0803
Practice Address - Street 1:358 N PLEASANT ST
Practice Address - Street 2:DEPARTMENT OF COMMUNICATION DISORDERS UMASS-AMHERST
Practice Address - City:AMHERST
Practice Address - State:MA
Practice Address - Zip Code:01003-9296
Practice Address - Country:US
Practice Address - Phone:413-545-0551
Practice Address - Fax:413-545-0803
Is Sole Proprietor?:No
Enumeration Date:2006-12-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA3176235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist