Provider Demographics
NPI:1699026575
Name:KIRSCHNER, ANNA PATRICIA (SLP)
Entity Type:Individual
Prefix:MRS
First Name:ANNA
Middle Name:PATRICIA
Last Name:KIRSCHNER
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 PETTIT DR
Mailing Address - Street 2:
Mailing Address - City:DIX HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11746-5921
Mailing Address - Country:US
Mailing Address - Phone:631-427-2672
Mailing Address - Fax:
Practice Address - Street 1:120 CENTER LN
Practice Address - Street 2:
Practice Address - City:LEVITTOWN
Practice Address - State:NY
Practice Address - Zip Code:11756-1062
Practice Address - Country:US
Practice Address - Phone:516-520-8370
Practice Address - Fax:516-520-8380
Is Sole Proprietor?:No
Enumeration Date:2012-10-02
Last Update Date:2012-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY004994-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist