Provider Demographics
NPI:1457509184
Name:SLIOZBERG, ALYONA (CCC-SLP)
Entity Type:Individual
Prefix:
First Name:ALYONA
Middle Name:
Last Name:SLIOZBERG
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6735 YELLOWSTONE BLVD
Mailing Address - Street 2:4S
Mailing Address - City:FOREST HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11375-2669
Mailing Address - Country:US
Mailing Address - Phone:718-554-3474
Mailing Address - Fax:
Practice Address - Street 1:6735 YELLOWSTONE BLVD
Practice Address - Street 2:4S
Practice Address - City:FOREST HILLS
Practice Address - State:NY
Practice Address - Zip Code:11375-2669
Practice Address - Country:US
Practice Address - Phone:718-554-3474
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-06
Last Update Date:2008-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY016118-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist