Provider Demographics
NPI:1528385077
Name:SOSSNER, WENDY (MS SLP CCC)
Entity Type:Individual
Prefix:
First Name:WENDY
Middle Name:
Last Name:SOSSNER
Suffix:
Gender:F
Credentials:MS SLP CCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:64 ROWELAND AVE
Mailing Address - Street 2:
Mailing Address - City:DELMAR
Mailing Address - State:NY
Mailing Address - Zip Code:12054-3911
Mailing Address - Country:US
Mailing Address - Phone:518-439-3351
Mailing Address - Fax:
Practice Address - Street 1:64 ROWELAND AVE
Practice Address - Street 2:
Practice Address - City:DELMAR
Practice Address - State:NY
Practice Address - Zip Code:12054-3911
Practice Address - Country:US
Practice Address - Phone:518-439-3351
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-23
Last Update Date:2010-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY013423-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist