Provider Demographics
NPI:1922324300
Name:JANOV, VIKTORIA (MS, CCC-SLP, TSSLD)
Entity Type:Individual
Prefix:MRS
First Name:VIKTORIA
Middle Name:
Last Name:JANOV
Suffix:
Gender:F
Credentials:MS, CCC-SLP, TSSLD
Other - Prefix:MRS
Other - First Name:VIKTORIA
Other - Middle Name:
Other - Last Name:ZEYGERMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, CCC-SLP, TSSLD
Mailing Address - Street 1:2051 E 60TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11234-4109
Mailing Address - Country:US
Mailing Address - Phone:917-748-1141
Mailing Address - Fax:
Practice Address - Street 1:2051 E 60TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11234-4109
Practice Address - Country:US
Practice Address - Phone:917-748-1141
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-04-11
Last Update Date:2016-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY020153235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist