Maryellen Rudolph, LSLP - Speech-Language Pathologist in Guilderland Center, NY

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Maryellen Rudolph, LSLP is a Speech-language Pathologist based in Guilderland Center, New York. Maryellen Rudolph is licensed to practice in New York (license number 001906) and her current practice location is 8 School Road, Guilderland Center, New York. She can be reached at her office (for appointments etc.) via phone at (518) 861-8591.

NPI number for Maryellen Rudolph is 1356611651 and her current mailing address is 8 School Road, Guilderland Center, New York. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1356611651.

Contact Information

Maryellen Rudolph, LSLP
8 School Road,
Guilderland Center, NY 12085
(518) 861-8591
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameMaryellen Rudolph
GenderFemale
SpecialitySpeech-language Pathologist
Location8 School Road, Guilderland Center, New York
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1356611651
  • Provider Enumeration Date: 01/04/2012
  • Last Update Date: 01/04/2012

Medical Identifiers

Medical identifiers for Maryellen Rudolph such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1356611651NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
235Z00000XSpeech-language Pathologist 001906 (New York)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Maryellen Rudolph is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Maryellen Rudolph, LSLP
8 School Road,
Guilderland Center, NY 12085-0037

Ph: (518) 861-8591		Maryellen Rudolph, LSLP
8 School Road,
Guilderland Center, NY 12085

Ph: (518) 861-8591

Reviews and Comments


Speech-Language Pathologist in Guilderland Center, NY


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