Provider Demographics
NPI:1275749731
Name:VIANA, PIA THERESA (SLP)
Entity Type:Individual
Prefix:MRS
First Name:PIA
Middle Name:THERESA
Last Name:VIANA
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:PIA
Other - Middle Name:THERESA
Other - Last Name:BIENIEWICZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:660 WHITE PLAINS RD FL 4
Mailing Address - Street 2:
Mailing Address - City:TARRYTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:10591-5139
Mailing Address - Country:US
Mailing Address - Phone:914-984-2552
Mailing Address - Fax:
Practice Address - Street 1:16 ALTAMONT AVE
Practice Address - Street 2:
Practice Address - City:SEA CLIFF
Practice Address - State:NY
Practice Address - Zip Code:11579-1402
Practice Address - Country:US
Practice Address - Phone:516-641-3759
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-14
Last Update Date:2022-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY012919-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist