Provider Demographics
NPI:1154669000
Name:SHIKARIDES, MARIA (MS CCC-SLP, TSSLD)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:
Last Name:SHIKARIDES
Suffix:
Gender:F
Credentials:MS CCC-SLP, TSSLD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 WALL AVE
Mailing Address - Street 2:
Mailing Address - City:VALHALLA
Mailing Address - State:NY
Mailing Address - Zip Code:10595-1745
Mailing Address - Country:US
Mailing Address - Phone:914-494-4133
Mailing Address - Fax:
Practice Address - Street 1:2 WALL AVE
Practice Address - Street 2:
Practice Address - City:VALHALLA
Practice Address - State:NY
Practice Address - Zip Code:10595-1745
Practice Address - Country:US
Practice Address - Phone:914-494-4133
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-28
Last Update Date:2022-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY022142235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist