Provider Demographics
NPI:1740434299
Name:LAPP, RANDI BETH (MS, CCC-SLP)
Entity type:Individual
Prefix:
First Name:RANDI
Middle Name:BETH
Last Name:LAPP
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 1:557 ROUTE 202
Mailing Address - Street 2:
Mailing Address - City:SUFFERN
Mailing Address - State:NY
Mailing Address - Zip Code:10901-2903
Mailing Address - Country:US
Mailing Address - Phone:845-357-8315
Mailing Address - Fax:
Practice Address - Street 1:557 ROUTE 202
Practice Address - Street 2:
Practice Address - City:SUFFERN
Practice Address - State:NY
Practice Address - Zip Code:10901-2903
Practice Address - Country:US
Practice Address - Phone:845-357-8315
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-11-11
Last Update Date:2011-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY010693-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist