Provider Demographics
NPI:1649415266
Name:GANZ, SHERYL KLEIN (MS, CCC)
Entity Type:Individual
Prefix:MRS
First Name:SHERYL
Middle Name:KLEIN
Last Name:GANZ
Suffix:
Gender:F
Credentials:MS, CCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:991 S END
Mailing Address - Street 2:
Mailing Address - City:WOODMERE
Mailing Address - State:NY
Mailing Address - Zip Code:11598-1022
Mailing Address - Country:US
Mailing Address - Phone:516-295-5648
Mailing Address - Fax:
Practice Address - Street 1:991 S END
Practice Address - Street 2:
Practice Address - City:WOODMERE
Practice Address - State:NY
Practice Address - Zip Code:11598-1022
Practice Address - Country:US
Practice Address - Phone:516-295-5648
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-10
Last Update Date:2008-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY003446-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist