Provider Demographics
NPI:1194008847
Name:BABAYEV, OKSANA (MA,CCC-SLP/TSSLD)
Entity Type:Individual
Prefix:
First Name:OKSANA
Middle Name:
Last Name:BABAYEV
Suffix:
Gender:F
Credentials:MA,CCC-SLP/TSSLD
Other - Prefix:
Other - First Name:OKSANA
Other - Middle Name:
Other - Last Name:BABYEV
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA,CCC-SLP/TSSLD
Mailing Address - Street 1:6439 98TH ST
Mailing Address - Street 2:APT 1E
Mailing Address - City:REGO PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11374-3322
Mailing Address - Country:US
Mailing Address - Phone:347-503-9207
Mailing Address - Fax:
Practice Address - Street 1:8403 57TH AVE
Practice Address - Street 2:
Practice Address - City:ELMHURST
Practice Address - State:NY
Practice Address - Zip Code:11373-4833
Practice Address - Country:US
Practice Address - Phone:178-899-9060
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-20
Last Update Date:2011-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY021288235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist