Provider Demographics
NPI:1689955197
Name:ASH BERNSTEIN, MELISSA HILLARY (MA CCC SLP)
Entity Type:Individual
Prefix:MS
First Name:MELISSA
Middle Name:HILLARY
Last Name:ASH BERNSTEIN
Suffix:
Gender:F
Credentials:MA CCC SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:50 WYCKOFF PL
Mailing Address - Street 2:
Mailing Address - City:WOODMERE
Mailing Address - State:NY
Mailing Address - Zip Code:11598-2130
Mailing Address - Country:US
Mailing Address - Phone:516-791-5962
Mailing Address - Fax:
Practice Address - Street 1:50 WYCKOFF PL
Practice Address - Street 2:
Practice Address - City:WOODMERE
Practice Address - State:NY
Practice Address - Zip Code:11598-2130
Practice Address - Country:US
Practice Address - Phone:516-791-5962
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-30
Last Update Date:2011-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0040961235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist