Provider Demographics
NPI:1922238609
Name:SELL, MARIA (CCC/SLP)
Entity Type:Individual
Prefix:MRS
First Name:MARIA
Middle Name:
Last Name:SELL
Suffix:
Gender:F
Credentials:CCC/SLP
Other - Prefix:MS
Other - First Name:MARIA
Other - Middle Name:
Other - Last Name:MERLINO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:86 SHARON PKWY
Mailing Address - Street 2:
Mailing Address - City:LACKAWANNA
Mailing Address - State:NY
Mailing Address - Zip Code:14218-3518
Mailing Address - Country:US
Mailing Address - Phone:716-826-2551
Mailing Address - Fax:
Practice Address - Street 1:86 SHARON PKWY
Practice Address - Street 2:
Practice Address - City:LACKAWANNA
Practice Address - State:NY
Practice Address - Zip Code:14218-3518
Practice Address - Country:US
Practice Address - Phone:716-826-2551
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-07-16
Last Update Date:2009-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY019141-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist