Provider Demographics
NPI:1881024701
Name:ISWARA, REBECCA STEINHILBER (MS, CCC-SLP, TSSLD)
Entity Type:Individual
Prefix:MRS
First Name:REBECCA
Middle Name:STEINHILBER
Last Name:ISWARA
Suffix:
Gender:F
Credentials:MS, CCC-SLP, TSSLD
Other - Prefix:MS
Other - First Name:REBECCA
Other - Middle Name:ANSELL
Other - Last Name:STEINHILBER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, CCC-SLP, TSSLD
Mailing Address - Street 1:135 E 54TH ST
Mailing Address - Street 2:APARTMENT 9H
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10022-4508
Mailing Address - Country:US
Mailing Address - Phone:732-330-1605
Mailing Address - Fax:
Practice Address - Street 1:135 E 54TH ST
Practice Address - Street 2:APARTMENT 9H
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022-4508
Practice Address - Country:US
Practice Address - Phone:732-330-1605
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-13
Last Update Date:2014-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY022590-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist