Provider Demographics
NPI:1740927219
Name:ROY, NIKKITA NJALIYATH (MA, CF-SLP, TSSLD)
Entity type:Individual
Prefix:MRS
First Name:NIKKITA
Middle Name:NJALIYATH
Last Name:ROY
Suffix:
Gender:F
Credentials:MA, CF-SLP, TSSLD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:106 UNION RD APT 3J
Mailing Address - Street 2:
Mailing Address - City:SPRING VALLEY
Mailing Address - State:NY
Mailing Address - Zip Code:10977-3408
Mailing Address - Country:US
Mailing Address - Phone:845-558-9586
Mailing Address - Fax:
Practice Address - Street 1:1 HEAD START CIR
Practice Address - Street 2:
Practice Address - City:SPRING VALLEY
Practice Address - State:NY
Practice Address - Zip Code:10977-5238
Practice Address - Country:US
Practice Address - Phone:845-352-6671
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-17
Last Update Date:2022-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist