Provider Demographics
NPI:1528211000
Name:EPSTEIN, CHAVA P (MACCC/SLP)
Entity Type:Individual
Prefix:
First Name:CHAVA
Middle Name:P
Last Name:EPSTEIN
Suffix:
Gender:F
Credentials:MACCC/SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 DORSET RD
Mailing Address - Street 2:
Mailing Address - City:SPRING VALLEY
Mailing Address - State:NY
Mailing Address - Zip Code:10977-3313
Mailing Address - Country:US
Mailing Address - Phone:914-629-3572
Mailing Address - Fax:845-356-5125
Practice Address - Street 1:16 DORSET RD
Practice Address - Street 2:
Practice Address - City:SPRING VALLEY
Practice Address - State:NY
Practice Address - Zip Code:10977-3313
Practice Address - Country:US
Practice Address - Phone:914-629-3572
Practice Address - Fax:845-356-5125
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-29
Last Update Date:2008-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY011574-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist