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

Mrs. Mary Ann Teresa Fraser, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1639452790

Mrs. Mary Ann Teresa Fraser, CCC-SLP is a Speech-Language Pathologist in Olivebridge, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2011
What do these letters mean?
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

See every abbreviation used in this directory →

Practice location Address checks out

1980 County Road 3
Olivebridge, NY 12461-5129
Phone: (845) 657-8101
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 002934 (NY)

Record details

NPI number1639452790
Entity typeIndividual (Type 1)
GenderFemale
Credentials CCC-SLP
Sole proprietorYes
NPI enumeratedSeptember 26, 2011
Last updated in NPPESSeptember 26, 2011