Provider Demographics
NPI:1659635886
Name:BERMAN, SONDRA PATRICIA (SPEECH PATHOLOGIST)
Entity Type:Individual
Prefix:MS
First Name:SONDRA
Middle Name:PATRICIA
Last Name:BERMAN
Suffix:
Gender:F
Credentials:SPEECH PATHOLOGIST
Other - Prefix:MRS
Other - First Name:SONDRA
Other - Middle Name:
Other - Last Name:KRUPNICK
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:SPEECH PATHOLOGIST
Mailing Address - Street 1:101 W 90TH ST
Mailing Address - Street 2:12F
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10024-1200
Mailing Address - Country:US
Mailing Address - Phone:732-644-8505
Mailing Address - Fax:
Practice Address - Street 1:101 W 90TH ST
Practice Address - Street 2:12F
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10024-1200
Practice Address - Country:US
Practice Address - Phone:732-644-8505
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-03
Last Update Date:2012-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY021922-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist