Provider Demographics
NPI:1437301603
Name:ADLER, VIVIAN KAHN (MA CCC-SLP)
Entity Type:Individual
Prefix:
First Name:VIVIAN
Middle Name:KAHN
Last Name:ADLER
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 1:201 W 89TH ST APT 9A
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10024-1819
Mailing Address - Country:US
Mailing Address - Phone:914-772-8238
Mailing Address - Fax:
Practice Address - Street 1:201 W 89TH ST APT 9A
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10024-1819
Practice Address - Country:US
Practice Address - Phone:914-772-8238
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-18
Last Update Date:2020-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY003933-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist