Provider Demographics
NPI:1902051568
Name:WEBB, MAUREEN VIVIEN (MA CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:MAUREEN
Middle Name:VIVIEN
Last Name:WEBB
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:PO BOX 351
Mailing Address - Street 2:
Mailing Address - City:NEW ROCHELLE
Mailing Address - State:NY
Mailing Address - Zip Code:10804-0351
Mailing Address - Country:US
Mailing Address - Phone:914-513-7279
Mailing Address - Fax:
Practice Address - Street 1:13 JOYCE RD
Practice Address - Street 2:
Practice Address - City:HARTSDALE
Practice Address - State:NY
Practice Address - Zip Code:10530-2929
Practice Address - Country:US
Practice Address - Phone:914-478-0606
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-24
Last Update Date:2008-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY011836-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist