Provider Demographics
NPI:1407008303
Name:SILVERSTEIN, JUDITH MIRIAMNE (MS CCC SLP)
Entity Type:Individual
Prefix:
First Name:JUDITH
Middle Name:MIRIAMNE
Last Name:SILVERSTEIN
Suffix:
Gender:F
Credentials:MS CCC SLP
Other - Prefix:
Other - First Name:JUDITH
Other - Middle Name:MIRIAMNE
Other - Last Name:LAMATTINA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:277 SEMINARY HILL RD
Mailing Address - Street 2:
Mailing Address - City:CARMEL
Mailing Address - State:NY
Mailing Address - Zip Code:10512-2434
Mailing Address - Country:US
Mailing Address - Phone:845-225-9394
Mailing Address - Fax:
Practice Address - Street 1:277 SEMINARY HILL RD
Practice Address - Street 2:
Practice Address - City:CARMEL
Practice Address - State:NY
Practice Address - Zip Code:10512-2434
Practice Address - Country:US
Practice Address - Phone:845-225-9394
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-22
Last Update Date:2008-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY011694-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist