Provider Demographics
NPI:1033494778
Name:VERDINO, ANNE THERESA (MA, CCC-SLP)
Entity Type:Individual
Prefix:MISS
First Name:ANNE
Middle Name:THERESA
Last Name:VERDINO
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 HILLTOP DR
Mailing Address - Street 2:
Mailing Address - City:YORKTOWN HEIGHTS
Mailing Address - State:NY
Mailing Address - Zip Code:10598-3315
Mailing Address - Country:US
Mailing Address - Phone:516-509-4953
Mailing Address - Fax:
Practice Address - Street 1:3 HILLTOP DR
Practice Address - Street 2:
Practice Address - City:YORKTOWN HEIGHTS
Practice Address - State:NY
Practice Address - Zip Code:10598-3315
Practice Address - Country:US
Practice Address - Phone:516-509-4953
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-10-13
Last Update Date:2011-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY021168-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist