Provider Demographics
NPI:1235406653
Name:WASSERMAN, HELENE (CCC)
Entity Type:Individual
Prefix:
First Name:HELENE
Middle Name:
Last Name:WASSERMAN
Suffix:
Gender:F
Credentials:CCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:70 COLGATE RD
Mailing Address - Street 2:
Mailing Address - City:GREAT NECK
Mailing Address - State:NY
Mailing Address - Zip Code:11023-1540
Mailing Address - Country:US
Mailing Address - Phone:516-773-3225
Mailing Address - Fax:516-773-2981
Practice Address - Street 1:38 POPLAR PL
Practice Address - Street 2:
Practice Address - City:PORT WASHINGTON
Practice Address - State:NY
Practice Address - Zip Code:11050-1858
Practice Address - Country:US
Practice Address - Phone:516-767-5250
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-30
Last Update Date:2011-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY002878-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist