Provider Demographics
NPI:1568785285
Name:BECKER, CYNTHIA (MA,CCC/SLP)
Entity Type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:
Last Name:BECKER
Suffix:
Gender:F
Credentials:MA,CCC/SLP
Other - Prefix:
Other - First Name:CYNTHIA
Other - Middle Name:A
Other - Last Name:VEIDEMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA,CCC/SLP
Mailing Address - Street 1:18 BAXTER AVE
Mailing Address - Street 2:
Mailing Address - City:NEW HYDE PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11040-3909
Mailing Address - Country:US
Mailing Address - Phone:516-382-1929
Mailing Address - Fax:516-354-1845
Practice Address - Street 1:18 BAXTER AVE
Practice Address - Street 2:
Practice Address - City:NEW HYDE PARK
Practice Address - State:NY
Practice Address - Zip Code:11040-3909
Practice Address - Country:US
Practice Address - Phone:516-382-1929
Practice Address - Fax:516-354-1845
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-09
Last Update Date:2010-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY002286235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist