MRS. MARY ROOSA CCC-SLP
NPI 1811274566
Speech-Language Pathologist in Port Ewen, NY

Q: What is Mary Roosa's NPI number?

The NPI number for Mary Roosa is 1811274566. It was assigned to this individual provider in the NPPES registry on November 9, 2011.

Q: What is Mary Roosa's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mary Roosa was last updated on October 12, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 09, 2011

345 MOUNTAIN VIEW AVENUE, PORT EWEN, NY 12466(845) 338-1945 Get Directions Write a Review

NPPES record last updated: October 12, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mrs. Mary Roosa Ccc-slp NPPES

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

MRS. MARY ROOSA CCC-SLP (NPI 1811274566) is an individual speech-language pathologist provider in Port Ewen, New York, licensed in New York (006248) and active in the NPI registry since November 2011.

NPPES Registry Identity

NPI1811274566

Entity TypeIndividualFemale

Primary Taxonomy235Z00000X

Provider Legal NameMRS. MARY ROOSACredential: CCC-SLP

Location Address345 MOUNTAIN VIEW AVENUEPort Ewen, NY 12466-0549

Mailing Address61 Crown StKingston, NY 12401-3833 · (845) 338-1945

Phone(845) 338-1945

Sole ProprietorNo

Enumeration DateNovember 9, 2011

Last NPPES UpdateOctober 12, 2012

✔ NPI 1811274566 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 · 006248

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.

345 MOUNTAIN VIEW AVENUE, Port Ewen, NY 12466

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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 Roosa's NPI number?

The NPI number for Mary Roosa is 1811274566. It was assigned to this individual provider in the NPPES registry on November 9, 2011.

Where is Mary Roosa located?

Mary Roosa practices at 345 Mountain View Avenue, Port Ewen, NY 12466. The listed phone number is (845) 338-1945.

What is Mary Roosa'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 Roosa was last updated on October 12, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.