Provider Demographics
NPI:1356587190
Name:SPIEGELMAN, ARLENE ROBIN (CCC/SLP)
Entity type:Individual
Prefix:MRS
First Name:ARLENE
Middle Name:ROBIN
Last Name:SPIEGELMAN
Suffix:
Gender:F
Credentials:CCC/SLP
Other - Prefix:
Other - First Name:ROBIN
Other - Middle Name:A
Other - Last Name:SPIEGELMAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:8230 233RD ST
Mailing Address - Street 2:
Mailing Address - City:QUEENS VILLAGE
Mailing Address - State:NY
Mailing Address - Zip Code:11427-2114
Mailing Address - Country:US
Mailing Address - Phone:718-479-3271
Mailing Address - Fax:
Practice Address - Street 1:8230 233RD ST
Practice Address - Street 2:
Practice Address - City:QUEENS VILLAGE
Practice Address - State:NY
Practice Address - Zip Code:11427-2114
Practice Address - Country:US
Practice Address - Phone:718-479-3271
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-29
Last Update Date:2008-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001552235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY001552OtherNYSDOH