Provider Demographics
NPI:1407001951
Name:VERDEROSA, JANET (MA)
Entity Type:Individual
Prefix:MS
First Name:JANET
Middle Name:
Last Name:VERDEROSA
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1468 MOFFITT AVE
Mailing Address - Street 2:
Mailing Address - City:HEWLETT
Mailing Address - State:NY
Mailing Address - Zip Code:11557-1516
Mailing Address - Country:US
Mailing Address - Phone:516-374-4795
Mailing Address - Fax:
Practice Address - Street 1:47 HUMPHREY DRIVE
Practice Address - Street 2:VARIETY CHILD LEARNING CENTER
Practice Address - City:SYOSSET
Practice Address - State:NY
Practice Address - Zip Code:11791
Practice Address - Country:US
Practice Address - Phone:516-921-7171
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-25
Last Update Date:2008-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY005632-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist