Provider Demographics
NPI:1700179009
Name:OCHS, MARY BETH (SLP)
Entity type:Individual
Prefix:
First Name:MARY BETH
Middle Name:
Last Name:OCHS
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120 STONELEIGH AVE
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14223-2024
Mailing Address - Country:US
Mailing Address - Phone:716-877-7115
Mailing Address - Fax:
Practice Address - Street 1:120 STONELEIGH AVE
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14223-2024
Practice Address - Country:US
Practice Address - Phone:716-877-7115
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-05-18
Last Update Date:2011-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY006434235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist