Provider Demographics
NPI:1881988590
Name:RUSHE, ANN T (MA, CCC/SLP)
Entity type:Individual
Prefix:MRS
First Name:ANN
Middle Name:T
Last Name:RUSHE
Suffix:
Gender:F
Credentials:MA, CCC/SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:241 HOYT ST
Mailing Address - Street 2:
Mailing Address - City:DARIEN
Mailing Address - State:CT
Mailing Address - Zip Code:06820-2702
Mailing Address - Country:US
Mailing Address - Phone:203-321-1918
Mailing Address - Fax:
Practice Address - Street 1:1000 W BOSTON POST RD
Practice Address - Street 2:MAMARONECK PUBLIC SCHOOLS
Practice Address - City:MAMARONECK
Practice Address - State:NY
Practice Address - Zip Code:10543-3328
Practice Address - Country:US
Practice Address - Phone:914-220-3000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-05-31
Last Update Date:2011-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY009188-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist