Provider Demographics
NPI:1700010584
Name:KATSNELSON, VALERIYA (MS, CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:VALERIYA
Middle Name:
Last Name:KATSNELSON
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 1:2440 E 29TH ST
Mailing Address - Street 2:APT. 3D
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11235-1950
Mailing Address - Country:US
Mailing Address - Phone:347-410-0105
Mailing Address - Fax:
Practice Address - Street 1:2440 E 29TH ST
Practice Address - Street 2:APT. 3D
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11235-1950
Practice Address - Country:US
Practice Address - Phone:347-410-0105
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-08
Last Update Date:2009-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY016644235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist