Provider Demographics
NPI:1780951228
Name:ZOBERMAN, HADASSAH (MA SLP CCC)
Entity type:Individual
Prefix:
First Name:HADASSAH
Middle Name:
Last Name:ZOBERMAN
Suffix:
Gender:F
Credentials:MA SLP CCC
Other - Prefix:
Other - First Name:HADASSAH
Other - Middle Name:
Other - Last Name:ZOBERMAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MA SLP CCC
Mailing Address - Street 1:137 ROCK HILL RD
Mailing Address - Street 2:
Mailing Address - City:SPRING VALLEY
Mailing Address - State:NY
Mailing Address - Zip Code:10977-5357
Mailing Address - Country:US
Mailing Address - Phone:845-425-0376
Mailing Address - Fax:
Practice Address - Street 1:137 ROCK HILL RD
Practice Address - Street 2:
Practice Address - City:SPRING VALLEY
Practice Address - State:NY
Practice Address - Zip Code:10977-5357
Practice Address - Country:US
Practice Address - Phone:845-425-0376
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-29
Last Update Date:2012-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ41YS00678600235Z00000X
NY021463235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist