Provider Demographics
NPI:1710313754
Name:URENA, DEANA MARIE (MS, CCC-SLP, TSSLD)
Entity Type:Individual
Prefix:MRS
First Name:DEANA
Middle Name:MARIE
Last Name:URENA
Suffix:
Gender:F
Credentials:MS, CCC-SLP, TSSLD
Other - Prefix:MS
Other - First Name:DEANA
Other - Middle Name:MARIE
Other - Last Name:JEZIORKOWSKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, CCC-SLP, TSSLD
Mailing Address - Street 1:1 LARKIN CTR
Mailing Address - Street 2:
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10701-7044
Mailing Address - Country:US
Mailing Address - Phone:914-376-8000
Mailing Address - Fax:
Practice Address - Street 1:1 LARKIN CTR
Practice Address - Street 2:
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10701-7044
Practice Address - Country:US
Practice Address - Phone:914-376-8000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-09-23
Last Update Date:2017-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY024861235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist