Provider Demographics
NPI:1265716732
Name:BEST, MARY MATRESE (SLP)
Entity type:Individual
Prefix:MRS
First Name:MARY
Middle Name:MATRESE
Last Name:BEST
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:MS
Other - First Name:MARY
Other - Middle Name:LAURA
Other - Last Name:MATRESE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:SLP
Mailing Address - Street 1:PO BOX 1604
Mailing Address - Street 2:
Mailing Address - City:FAIRPORT
Mailing Address - State:NY
Mailing Address - Zip Code:14450-7604
Mailing Address - Country:US
Mailing Address - Phone:603-312-7676
Mailing Address - Fax:
Practice Address - Street 1:800 BROWN RD
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14622-2318
Practice Address - Country:US
Practice Address - Phone:585-339-1310
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-10-03
Last Update Date:2013-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY020512235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist