Provider Demographics
NPI:1962656975
Name:RAIMONDA, DINA MARIE (MA,CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:DINA
Middle Name:MARIE
Last Name:RAIMONDA
Suffix:
Gender:F
Credentials:MA,CCC-SLP
Other - Prefix:MRS
Other - First Name:DINA
Other - Middle Name:MARIE
Other - Last Name:SCARPONI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MA,CCC-SLP
Mailing Address - Street 1:1965 59TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11204-2341
Mailing Address - Country:US
Mailing Address - Phone:718-234-5417
Mailing Address - Fax:
Practice Address - Street 1:1965 59TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11204-2341
Practice Address - Country:US
Practice Address - Phone:718-234-5417
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-11-05
Last Update Date:2008-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY013822-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist