Provider Demographics
NPI:1689147399
Name:INTERACTIONS SPEECH THERAPY P.C.
Entity Type:Organization
Organization Name:INTERACTIONS SPEECH THERAPY P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH LANGUAGE PATHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:SVETLANA
Authorized Official - Middle Name:
Authorized Official - Last Name:PINKHASOVA
Authorized Official - Suffix:
Authorized Official - Credentials:MA, CCC-SLP, TSSLD
Authorized Official - Phone:718-288-5066
Mailing Address - Street 1:7119 168TH ST
Mailing Address - Street 2:
Mailing Address - City:FRESH MEADOWS
Mailing Address - State:NY
Mailing Address - Zip Code:11365-3241
Mailing Address - Country:US
Mailing Address - Phone:718-288-5066
Mailing Address - Fax:
Practice Address - Street 1:9520 63RD RD STE H
Practice Address - Street 2:
Practice Address - City:REGO PARK
Practice Address - State:NY
Practice Address - Zip Code:11374-1145
Practice Address - Country:US
Practice Address - Phone:718-288-5066
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-04
Last Update Date:2019-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty