Provider Demographics
NPI:1861776981
Name:D'AURIZIO, MARY ELLEN
Entity type:Individual
Prefix:MRS
First Name:MARY ELLEN
Middle Name:
Last Name:D'AURIZIO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1456 SAUNDERS SETTLEMENT RD
Mailing Address - Street 2:
Mailing Address - City:NIAGARA FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:14305-1426
Mailing Address - Country:US
Mailing Address - Phone:716-215-3270
Mailing Address - Fax:
Practice Address - Street 1:1456 SAUNDERS SETTLEMENT RD
Practice Address - Street 2:
Practice Address - City:NIAGARA FALLS
Practice Address - State:NY
Practice Address - Zip Code:14305-1426
Practice Address - Country:US
Practice Address - Phone:716-215-3270
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-10-07
Last Update Date:2011-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0000002355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant