Provider Demographics
NPI:1164674180
Name:ANSHITA, SAORI (SLP, MA-CCC)
Entity Type:Individual
Prefix:
First Name:SAORI
Middle Name:
Last Name:ANSHITA
Suffix:
Gender:F
Credentials:SLP, MA-CCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 CANFIELD AVE APT 336
Mailing Address - Street 2:
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10601-2049
Mailing Address - Country:US
Mailing Address - Phone:914-437-5881
Mailing Address - Fax:
Practice Address - Street 1:141 S CENTRAL AVE STE 300
Practice Address - Street 2:
Practice Address - City:HARTSDALE
Practice Address - State:NY
Practice Address - Zip Code:10530-2334
Practice Address - Country:US
Practice Address - Phone:914-328-2868
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-22
Last Update Date:2008-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY015433235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist