Provider Demographics
NPI:1154756567
Name:BEHNAMBAKHSH, ROXANA (CF-SLP)
Entity type:Individual
Prefix:MS
First Name:ROXANA
Middle Name:
Last Name:BEHNAMBAKHSH
Suffix:
Gender:F
Credentials:CF-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31 MARVIN RD
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10309-2022
Mailing Address - Country:US
Mailing Address - Phone:347-609-5132
Mailing Address - Fax:
Practice Address - Street 1:31 MARVIN RD
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10309-2022
Practice Address - Country:US
Practice Address - Phone:347-609-5132
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-09-05
Last Update Date:2013-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist