Provider Demographics
NPI:1083898324
Name:SIKAROVA, RUZHENA (CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:RUZHENA
Middle Name:
Last Name:SIKAROVA
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 KERR PATH
Mailing Address - Street 2:
Mailing Address - City:NEWTON
Mailing Address - State:MA
Mailing Address - Zip Code:02459-3518
Mailing Address - Country:US
Mailing Address - Phone:617-526-4586
Mailing Address - Fax:
Practice Address - Street 1:25 KERR PATH
Practice Address - Street 2:
Practice Address - City:NEWTON
Practice Address - State:MA
Practice Address - Zip Code:02459-3518
Practice Address - Country:US
Practice Address - Phone:617-526-4586
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-21
Last Update Date:2007-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA3534235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist