Provider Demographics
NPI:1689970006
Name:COLON-SCERRI, EVELYN (MS CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:EVELYN
Middle Name:
Last Name:COLON-SCERRI
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:570 GRAND ST
Mailing Address - Street 2:EAST RIVER CHILD DEVELOPMENT CENTER (SPEECH DEPT.)
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10002-4379
Mailing Address - Country:US
Mailing Address - Phone:212-254-7301
Mailing Address - Fax:212-254-8963
Practice Address - Street 1:570 GRAND ST
Practice Address - Street 2:EAST RIVER CHILD DEVELOPMENT CENTER (SPEECH DEPT.)
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10002-4379
Practice Address - Country:US
Practice Address - Phone:212-254-7301
Practice Address - Fax:212-254-8963
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-02
Last Update Date:2011-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY011101235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist