Provider Demographics
NPI:1952193088
Name:HERZOG, CHLOE E (MA CF-SLP TSSLD)
Entity type:Individual
Prefix:
First Name:CHLOE
Middle Name:E
Last Name:HERZOG
Suffix:
Gender:F
Credentials:MA CF-SLP TSSLD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:91 RICHARD AVE
Mailing Address - Street 2:
Mailing Address - City:ISLIP TERRACE
Mailing Address - State:NY
Mailing Address - Zip Code:11752-2816
Mailing Address - Country:US
Mailing Address - Phone:631-873-5805
Mailing Address - Fax:
Practice Address - Street 1:2330 UNION BLVD
Practice Address - Street 2:
Practice Address - City:ISLIP
Practice Address - State:NY
Practice Address - Zip Code:11751-3172
Practice Address - Country:US
Practice Address - Phone:631-377-7000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-22
Last Update Date:2025-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist