Provider Demographics
NPI:1184363293
Name:POLITIS, GEORGIA (MS, CCC-SLP, TSSLD)
Entity type:Individual
Prefix:
First Name:GEORGIA
Middle Name:
Last Name:POLITIS
Suffix:
Gender:F
Credentials:MS, CCC-SLP, TSSLD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2839 BEDFORD AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11210-2151
Mailing Address - Country:US
Mailing Address - Phone:718-724-8500
Mailing Address - Fax:
Practice Address - Street 1:2839 BEDFORD AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11210-2151
Practice Address - Country:US
Practice Address - Phone:718-724-8500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-27
Last Update Date:2023-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist