Provider Demographics
NPI:1598416885
Name:PALEVSKI, DIVYA J (MS CCC-SLP, TSSLD)
Entity Type:Individual
Prefix:MS
First Name:DIVYA
Middle Name:J
Last Name:PALEVSKI
Suffix:
Gender:F
Credentials:MS CCC-SLP, TSSLD
Other - Prefix:MRS
Other - First Name:DIVYA
Other - Middle Name:J
Other - Last Name:PALEVSKI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MS CCC-SLP, TSSLD
Mailing Address - Street 1:57 ALEXANDER ST APT 520
Mailing Address - Street 2:
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10701-1264
Mailing Address - Country:US
Mailing Address - Phone:914-559-8203
Mailing Address - Fax:
Practice Address - Street 1:57 ALEXANDER ST APT 520
Practice Address - Street 2:
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10701-1264
Practice Address - Country:US
Practice Address - Phone:914-559-8203
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-18
Last Update Date:2024-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
235Z00000X
NY032961235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist