Provider Demographics
NPI:1821237553
Name:ELPERINA, SVETLANA (MA, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:SVETLANA
Middle Name:
Last Name:ELPERINA
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 1:1730 E 18TH ST
Mailing Address - Street 2:3-G
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11229-2151
Mailing Address - Country:US
Mailing Address - Phone:646-644-1283
Mailing Address - Fax:
Practice Address - Street 1:1730 E 18TH ST
Practice Address - Street 2:3-G
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11229-2151
Practice Address - Country:US
Practice Address - Phone:646-644-1283
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-19
Last Update Date:2009-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY014973235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist