Provider Demographics
NPI:1376886788
Name:LONGO-SILVESTRI, JOANN MARIA (MA, CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:JOANN
Middle Name:MARIA
Last Name:LONGO-SILVESTRI
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 FERNWAY
Mailing Address - Street 2:
Mailing Address - City:SCARSDALE
Mailing Address - State:NY
Mailing Address - Zip Code:10583-4919
Mailing Address - Country:US
Mailing Address - Phone:914-725-7788
Mailing Address - Fax:914-725-4422
Practice Address - Street 1:9 FERNWAY
Practice Address - Street 2:
Practice Address - City:SCARSDALE
Practice Address - State:NY
Practice Address - Zip Code:10583-4919
Practice Address - Country:US
Practice Address - Phone:914-725-7788
Practice Address - Fax:914-725-4422
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-03
Last Update Date:2013-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY3204235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist