Provider Demographics
NPI:1205146834
Name:SPIRA, AYALA (MS CCC-SLP)
Entity type:Individual
Prefix:MS
First Name:AYALA
Middle Name:
Last Name:SPIRA
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1827 BURNETT ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11229-2625
Mailing Address - Country:US
Mailing Address - Phone:718-951-9887
Mailing Address - Fax:718-951-9887
Practice Address - Street 1:1827 BURNETT ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11229-2625
Practice Address - Country:US
Practice Address - Phone:718-951-9887
Practice Address - Fax:718-951-9887
Is Sole Proprietor?:No
Enumeration Date:2010-10-17
Last Update Date:2010-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY12107990235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist