Provider Demographics
NPI:1871032367
Name:HERSKOVITS, JOANNE (MS-CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:JOANNE
Middle Name:
Last Name:HERSKOVITS
Suffix:
Gender:F
Credentials:MS-CCC-SLP
Other - Prefix:MISS
Other - First Name:JOANNE
Other - Middle Name:
Other - Last Name:KARPE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS-CCC-SLP
Mailing Address - Street 1:90 TRINITY PLACE
Mailing Address - Street 2:LEADERSHIP AND PUBLIC SERVICE HIGH SCHOOL
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10006
Mailing Address - Country:US
Mailing Address - Phone:212-346-0007
Mailing Address - Fax:
Practice Address - Street 1:90 TRINITY PLACE
Practice Address - Street 2:LEADERSHIP AND PUBLIC SERVICE HIGH SCHOOL
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10006
Practice Address - Country:US
Practice Address - Phone:212-346-0007
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-16
Last Update Date:2017-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY010527-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist