Provider Demographics
NPI:1205225737
Name:NEUMAN, TZIPPORAH (SLP)
Entity Type:Individual
Prefix:
First Name:TZIPPORAH
Middle Name:
Last Name:NEUMAN
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 OAK ST
Mailing Address - Street 2:
Mailing Address - City:WOODMERE
Mailing Address - State:NY
Mailing Address - Zip Code:11598-2646
Mailing Address - Country:US
Mailing Address - Phone:917-396-9874
Mailing Address - Fax:718-377-5002
Practice Address - Street 1:16 OAK ST
Practice Address - Street 2:
Practice Address - City:WOODMERE
Practice Address - State:NY
Practice Address - Zip Code:11598-2646
Practice Address - Country:US
Practice Address - Phone:917-396-9874
Practice Address - Fax:718-377-5002
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-21
Last Update Date:2020-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY022495235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist