Provider Demographics
NPI:1265056089
Name:PARTS OF SPEECH, A SPEECH-LANGUAGE PATHOLOGY PLLC
Entity type:Organization
Organization Name:PARTS OF SPEECH, A SPEECH-LANGUAGE PATHOLOGY PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:SPEECH-LANGUAGE PATHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:GENEVA
Authorized Official - Middle Name:
Authorized Official - Last Name:MAYNE
Authorized Official - Suffix:
Authorized Official - Credentials:SLPD, CCC-SLP, TSSLD
Authorized Official - Phone:914-486-5939
Mailing Address - Street 1:487 E MAIN ST STE 159
Mailing Address - Street 2:
Mailing Address - City:MOUNT KISCO
Mailing Address - State:NY
Mailing Address - Zip Code:10549-3420
Mailing Address - Country:US
Mailing Address - Phone:914-486-5939
Mailing Address - Fax:
Practice Address - Street 1:9 SUNSET DR
Practice Address - Street 2:
Practice Address - City:BEDFORD HILLS
Practice Address - State:NY
Practice Address - Zip Code:10507-1817
Practice Address - Country:US
Practice Address - Phone:914-486-5939
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-08
Last Update Date:2023-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty