Provider Demographics
NPI:1669786927
Name:CERRATO, PAMELA (MA CCC-SLP, TSHH)
Entity type:Individual
Prefix:MS
First Name:PAMELA
Middle Name:
Last Name:CERRATO
Suffix:
Gender:F
Credentials:MA CCC-SLP, TSHH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 PETERSON RD
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:NY
Mailing Address - Zip Code:10950-3736
Mailing Address - Country:US
Mailing Address - Phone:914-462-7700
Mailing Address - Fax:
Practice Address - Street 1:48 SUNSET DR
Practice Address - Street 2:
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10704-2706
Practice Address - Country:US
Practice Address - Phone:914-462-7700
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-28
Last Update Date:2024-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY014119-1235Z00000X
FLSA20035235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist