MARY AMBROSE MA CCC-SLP NPI 1538601042

NPI Information

  • NPI: 1538601042
  • Provider Name: MARY AMBROSE, MA CCC-SLP
  • Classification: Speech-Language Pathologist - 235Z00000X
  • Entity Type: Individual
  • Address: 21160 MAPLE BRANCH TER
    ASHBURN, VA
    ZIP 20147
  • Phone: (571) 291-6192

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NPI Details

Mary Ambrose, MA CCC-SLP is a speech language pathologist in Ashburn, VA with 36 years of experience. The provider is the speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. Mary Ambrose, MA CCC-SLP NPI is 1538601042. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

21160 MAPLE BRANCH TER
ASHBURN, VA
ZIP 20147-160
Phone: (571) 291-6192

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Therapy procedure for a range of mental processes, each additional 15 minutes (HCPCS:97130)
  • Therapy procedure for a range of mental processes, initial 15 minutes (HCPCS:97129)
  • Test to assess the ability to complete specific functional tasks applicable to environment (HCPCS:96125)

The enumeration date for this NPI number is 11/15/2016 and was last updated on 11/15/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1235Z00000XSpeech-Language Pathologist01078899VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1496734MEDICARE UPINVIRGINIA
2495416MEDICARE UPINVIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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