Provider Demographics
NPI:1659510121
Name:SCHREIBER, HADASSAH T (MS-SLP-CCC)
Entity Type:Individual
Prefix:MRS
First Name:HADASSAH
Middle Name:T
Last Name:SCHREIBER
Suffix:
Gender:F
Credentials:MS-SLP-CCC
Other - Prefix:MISS
Other - First Name:HADASSAH
Other - Middle Name:T
Other - Last Name:SAUSEN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:664 BARNARD AVE.
Mailing Address - Street 2:
Mailing Address - City:WOODMERE
Mailing Address - State:NY
Mailing Address - Zip Code:07208
Mailing Address - Country:US
Mailing Address - Phone:516-569-4943
Mailing Address - Fax:
Practice Address - Street 1:264 BEACH 19TH STREET
Practice Address - Street 2:ON OUR WAY LEARNING CENTER
Practice Address - City:FAR ROCKAWAY
Practice Address - State:NY
Practice Address - Zip Code:11691
Practice Address - Country:US
Practice Address - Phone:718-868-2961
Practice Address - Fax:718-868-1296
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-06
Last Update Date:2009-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY011-346235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist