Provider Demographics
NPI:1922384817
Name:BENEDIKT, ESTHER (SLP-MS)
Entity Type:Individual
Prefix:MRS
First Name:ESTHER
Middle Name:
Last Name:BENEDIKT
Suffix:
Gender:F
Credentials:SLP-MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:116 TUDOR CT
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08701-1471
Mailing Address - Country:US
Mailing Address - Phone:732-363-6083
Mailing Address - Fax:
Practice Address - Street 1:99 SUMMIT AVE
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10306-1352
Practice Address - Country:US
Practice Address - Phone:516-242-7461
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-24
Last Update Date:2011-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist