Provider Demographics
NPI:1255455697
Name:CLYMER, ATIYA KARIMA (SLP)
Entity type:Individual
Prefix:MRS
First Name:ATIYA
Middle Name:KARIMA
Last Name:CLYMER
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:MRS
Other - First Name:ATIYA
Other - Middle Name:KARIMA
Other - Last Name:HUSTON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:SLP
Mailing Address - Street 1:61 WARING PL
Mailing Address - Street 2:3RD FLOOR
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10703-3062
Mailing Address - Country:US
Mailing Address - Phone:914-573-2154
Mailing Address - Fax:
Practice Address - Street 1:61 WARING PL
Practice Address - Street 2:
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10703-3062
Practice Address - Country:US
Practice Address - Phone:914-573-2154
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-19
Last Update Date:2010-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY017084235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist