Provider Demographics
NPI:1518112671
Name:MENDEZ, YAHAIRA C (MA, CCC-SLP/TSHH)
Entity Type:Individual
Prefix:MRS
First Name:YAHAIRA
Middle Name:C
Last Name:MENDEZ
Suffix:
Gender:F
Credentials:MA, CCC-SLP/TSHH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:330 S BROADWAY UNIT G12
Mailing Address - Street 2:
Mailing Address - City:TARRYTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:10591-5627
Mailing Address - Country:US
Mailing Address - Phone:914-909-0838
Mailing Address - Fax:
Practice Address - Street 1:330 S BROADWAY UNIT G12
Practice Address - Street 2:
Practice Address - City:TARRYTOWN
Practice Address - State:NY
Practice Address - Zip Code:10591-5627
Practice Address - Country:US
Practice Address - Phone:914-909-0838
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-11-17
Last Update Date:2008-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY014543-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist