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MARY THERESE POLVINO
NPI 1992463764
Speech-Language Pathologist in Jamestown, NY

Active since November 29, 2021
774 FAIRMOUNT AVE, JAMESTOWN, NY 14701(716) 338-0668 Get Directions Write a Review

NPPES record last updated: October 11, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 11, 2023, Nov 29, 2021 (2 updates tracked since 2021).

About Mary Therese Polvino NPPES

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

MARY THERESE POLVINO (NPI 1992463764) is an individual speech-language pathologist provider in Jamestown, New York, licensed in New York (032725) and active in the NPI registry since November 2021.

NPPES Registry Identity

NPI1992463764
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameMARY THERESE POLVINO
Location Address774 FAIRMOUNT AVEJamestown, NY 14701-2609
Mailing Address774 Fairmount AveJamestown, NY 14701-2609 · (716) 338-0668
Phone(716) 338-0668
Sole ProprietorNo
Enumeration DateNovember 29, 2021
Last NPPES UpdateOctober 11, 20232 updates tracked since enumeration
NPPES CertifiedOctober 11, 2023
✔ NPI 1992463764 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 · 032725
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.
774 FAIRMOUNT AVE, Jamestown, NY 14701
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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.

AKASHDEEP KAUR-BRAR
Physical Therapist
774 FAIRMOUNT AVE
JAMESTOWN, NY 14701
Chautauqua County (716) 665-1166
MR. ANTHONY L WARD DPT
Specialist
774 FAIRMOUNT AVE
JAMESTOWN, NY 14701
Chautauqua County (716) 665-1166
MRS. KRISTINA EVERLY JOHNSON MS CCC-SLP
Speech-Language Pathologist
774 FAIRMOUNT AVE
JAMESTOWN, NY 14701
Chautauqua County (716) 338-0668
STEFANIE BRIGGS
Physical Therapist
774 FAIRMOUNT AVE
JAMESTOWN, NY 14701
Chautauqua County (716) 665-1166
LOGAN D'ANGELO PA-C
Physician Assistant
774 FAIRMOUNT AVE
JAMESTOWN, NY 14701
Chautauqua County (716) 708-6578
DEBRA B DANIELS NP
Nurse Practitioner (Family)
774 FAIRMOUNT AVE
JAMESTOWN, NY 14701
Chautauqua County (716) 708-6578
LORI S MELQUIST
Physical Therapy Assistant
774 FAIRMOUNT AVE
JAMESTOWN, NY 14701
Chautauqua County (716) 665-1166
KARI ALANA MORALES ATC
Specialist/Technologist (Athletic Trainer)
774 FAIRMOUNT AVE
JAMESTOWN, NY 14701
Chautauqua County (716) 665-1166

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 Polvino's NPI number?

The NPI number for Mary Polvino is 1992463764. It was assigned to this individual provider in the NPPES registry on November 29, 2021.

Where is Mary Polvino located?

Mary Polvino practices at 774 Fairmount Ave, Jamestown, NY 14701. The listed phone number is (716) 338-0668.

What is Mary Polvino'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 Polvino was last updated on October 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.