Provider Demographics
NPI:1083066286
Name:OPPONG-ADDAE, SHARONDA AFIA (MSSLP)
Entity Type:Individual
Prefix:MS
First Name:SHARONDA
Middle Name:AFIA
Last Name:OPPONG-ADDAE
Suffix:
Gender:F
Credentials:MSSLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:85 BELKNAP AVE
Mailing Address - Street 2:
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10710-5403
Mailing Address - Country:US
Mailing Address - Phone:917-736-6332
Mailing Address - Fax:
Practice Address - Street 1:633 W 5TH ST OFC 2876B
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90071-2005
Practice Address - Country:US
Practice Address - Phone:512-399-0064
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-07-12
Last Update Date:2023-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist