Provider Demographics
NPI:1932642667
Name:SELTER, YAEL NINA (MA CCC-SLP TSSLD)
Entity Type:Individual
Prefix:
First Name:YAEL
Middle Name:NINA
Last Name:SELTER
Suffix:
Gender:F
Credentials:MA CCC-SLP TSSLD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1930 ANDREWS AVE S
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10453-3004
Mailing Address - Country:US
Mailing Address - Phone:718-294-1134
Mailing Address - Fax:
Practice Address - Street 1:1930 ANDREWS AVE S
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10453-3004
Practice Address - Country:US
Practice Address - Phone:718-294-1134
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-11-29
Last Update Date:2016-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY025942-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist