Provider Demographics
NPI:1578366027
Name:DWECK, MARY L
Entity type:Individual
Prefix:MRS
First Name:MARY
Middle Name:L
Last Name:DWECK
Suffix:
Gender:
Credentials:
Other - Prefix:MS
Other - First Name:MARY
Other - Middle Name:L
Other - Last Name:SALEM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1766 E 3RD ST FL 1
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11223-1931
Mailing Address - Country:US
Mailing Address - Phone:646-267-3701
Mailing Address - Fax:
Practice Address - Street 1:82 BETHANY RD STE 1
Practice Address - Street 2:
Practice Address - City:HAZLET
Practice Address - State:NJ
Practice Address - Zip Code:07730-1459
Practice Address - Country:US
Practice Address - Phone:732-888-3912
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-31
Last Update Date:2025-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist