Provider Demographics
NPI:1437449329
Name:WERZANSKY, BARBARA (SLP)
Entity Type:Individual
Prefix:MRS
First Name:BARBARA
Middle Name:
Last Name:WERZANSKY
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:MRS
Other - First Name:BARBARA
Other - Middle Name:
Other - Last Name:WERZANSKY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:SPEECH THERAPIST
Mailing Address - Street 1:43 CHAMP AVE
Mailing Address - Street 2:
Mailing Address - City:PEARL RIVER
Mailing Address - State:NY
Mailing Address - Zip Code:10965-1402
Mailing Address - Country:US
Mailing Address - Phone:845-735-8739
Mailing Address - Fax:845-735-8739
Practice Address - Street 1:43 CHAMP AVE
Practice Address - Street 2:
Practice Address - City:PEARL RIVER
Practice Address - State:NY
Practice Address - Zip Code:10965-1402
Practice Address - Country:US
Practice Address - Phone:845-735-8739
Practice Address - Fax:845-735-8739
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-12
Last Update Date:2011-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000062-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist