Provider Demographics
NPI:1669849444
Name:YAEGER, BATSHEVA LEAH (MS)
Entity Type:Individual
Prefix:
First Name:BATSHEVA
Middle Name:LEAH
Last Name:YAEGER
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1354 E 17TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11230-6011
Mailing Address - Country:US
Mailing Address - Phone:718-645-9163
Mailing Address - Fax:
Practice Address - Street 1:1354 E 17TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11230-6011
Practice Address - Country:US
Practice Address - Phone:718-645-9163
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-27
Last Update Date:2015-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist