Provider Demographics
NPI:1023257748
Name:KAZAN-SHERMAN, RHONDA M (MSCCC/SLP)
Entity type:Individual
Prefix:MR
First Name:RHONDA
Middle Name:M
Last Name:KAZAN-SHERMAN
Suffix:
Gender:F
Credentials:MSCCC/SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28 BOONE ST
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10314-5004
Mailing Address - Country:US
Mailing Address - Phone:718-698-7871
Mailing Address - Fax:718-477-7591
Practice Address - Street 1:28 BOONE ST
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10314-5004
Practice Address - Country:US
Practice Address - Phone:718-698-7871
Practice Address - Fax:718-477-7591
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-19
Last Update Date:2009-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY009399-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist