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

Mrs. Mary Roosa, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1811274566

Mrs. Mary Roosa, CCC-SLP is a Speech-Language Pathologist in Port Ewen, New York. Licensed in New York. Registered with an NPI since 2011.

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

345 Mountain View Ave
Port Ewen, NY 12466-0549
Phone: (845) 338-1945
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 006248 (NY)

Record details

NPI number1811274566
Entity typeIndividual (Type 1)
GenderFemale
Credentials CCC-SLP
Sole proprietorNo
NPI enumeratedNovember 9, 2011
Last updated in NPPESOctober 12, 2012

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