Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mary Therese Polvino

Individual provider Speech-Language Pathologist · NPI 1992463764

Mary Therese Polvino is a Speech-Language Pathologist in Jamestown, New York. Licensed in New York. Registered with an NPI since 2021.

Licensed in
NY
In the registry since
2021

Practice location Address checks out

774 Fairmount Ave
Jamestown, NY 14701-2609
Phone: (716) 338-0668
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 032725 (NY)

Record details

NPI number1992463764
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 29, 2021
Last updated in NPPESOctober 11, 2023
Certification dateOctober 11, 2023

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