Provider Demographics
NPI:1447562525
Name:D'AURIA, VANESSA (MS, CCC-SLP)
Entity Type:Individual
Prefix:MISS
First Name:VANESSA
Middle Name:
Last Name:D'AURIA
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4902 21ST ST
Mailing Address - Street 2:APT 4 J
Mailing Address - City:LONG ISLAND CITY
Mailing Address - State:NY
Mailing Address - Zip Code:11101-5744
Mailing Address - Country:US
Mailing Address - Phone:718-350-4601
Mailing Address - Fax:
Practice Address - Street 1:4902 21ST ST
Practice Address - Street 2:APT 4 J
Practice Address - City:LONG ISLAND CITY
Practice Address - State:NY
Practice Address - Zip Code:11101-5744
Practice Address - Country:US
Practice Address - Phone:718-350-4601
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-06
Last Update Date:2013-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY012149-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist