Provider Demographics
NPI:1184053050
Name:KATSEVMAN, SOFYA (MS CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:SOFYA
Middle Name:
Last Name:KATSEVMAN
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:MRS
Other - First Name:DEVORAH
Other - Middle Name:
Other - Last Name:KATSEVMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:SOFYA SIMBIRSKAYA
Mailing Address - Street 1:2017 58TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11204-2012
Mailing Address - Country:US
Mailing Address - Phone:347-217-5244
Mailing Address - Fax:
Practice Address - Street 1:2017 58TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11204-2012
Practice Address - Country:US
Practice Address - Phone:347-217-5244
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-11-01
Last Update Date:2020-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist