Provider Demographics
NPI:1477100493
Name:WAJSFELD, MIRIAM (MA-SLP, TSSLD)
Entity Type:Individual
Prefix:MISS
First Name:MIRIAM
Middle Name:
Last Name:WAJSFELD
Suffix:
Gender:F
Credentials:MA-SLP, TSSLD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:336 ROUTE 306
Mailing Address - Street 2:
Mailing Address - City:MONSEY
Mailing Address - State:NY
Mailing Address - Zip Code:10952-1442
Mailing Address - Country:US
Mailing Address - Phone:845-422-2184
Mailing Address - Fax:
Practice Address - Street 1:1 DINEV RD
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:NY
Practice Address - Zip Code:10950-6487
Practice Address - Country:US
Practice Address - Phone:845-782-7510
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-23
Last Update Date:2019-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist