MRS. MARY PROVENZANO
NPI 1285911701
Speech-Language Pathologist in Webster, NY

Active since November 11, 2011
119 SOUTH AVE, WEBSTER, NY 14580(585) 216-0000 Get Directions Write a Review

NPPES record last updated: November 11, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mrs. Mary Provenzano NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. MARY PROVENZANO (NPI 1285911701) is an individual speech-language pathologist provider in Webster, New York, licensed in New York (008559) and active in the NPI registry since November 2011.

NPPES Registry Identity

NPI1285911701
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameMRS. MARY PROVENZANO
Location Address119 SOUTH AVEWebster, NY 14580-3559
Mailing Address1867 State RdWebster, NY 14580-9303 · (585) 872-4561
Sole ProprietorNo
Enumeration DateNovember 11, 2011
NPI 1285911701 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License Licensed in NY · 008559
Definition

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

119 SOUTH AVE, Webster, NY 14580

Other Names 1

Former Name (1)Mrs. Mary Harissis-provenzano

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Registered Nurse (School)
119 SOUTH AVE
WEBSTER, NY 14580
Speech-Language Pathologist
119 SOUTH AVE
WEBSTER, NY 14580
Registered Nurse
119 SOUTH AVE
WEBSTER, NY 14580
Occupational Therapist
119 SOUTH AVE
WEBSTER, NY 14580
Speech-Language Pathologist
119 SOUTH AVE
WEBSTER, NY 14580
Speech-Language Pathologist
119 SOUTH AVE, WEBSTER CENTRAL SCHOOL DISTRICT
WEBSTER, NY 14580
Registered Nurse
119 SOUTH AVE
WEBSTER, NY 14580
Licensed Practical Nurse
119 SOUTH AVE
WEBSTER, NY 14580

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Provenzano's NPI number?

The NPI number for Mary Provenzano is 1285911701. It was assigned to this individual provider in the NPPES registry on November 11, 2011. The provider is also known as Mrs. Mary Harissis-Provenzano.

Where is Mary Provenzano located?

Mary Provenzano practices at 119 South Ave, Webster, NY 14580. The listed phone number is (585) 216-0000.

What is Mary Provenzano's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

When was this NPI record last updated?

The NPPES record for Mary Provenzano was last updated on November 11, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.