Provider Demographics
NPI:1609014737
Name:DAYAN, NATALIE (MS, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:NATALIE
Middle Name:
Last Name:DAYAN
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3801 N 49TH AVE
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33021-1604
Mailing Address - Country:US
Mailing Address - Phone:732-735-3090
Mailing Address - Fax:
Practice Address - Street 1:3801 N 49TH AVE
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33021-1604
Practice Address - Country:US
Practice Address - Phone:732-735-3090
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-27
Last Update Date:2021-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ41YS00570600235Z00000X
NY018216235Z00000X
CT004002235Z00000X
FLSA11194235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist