Provider Demographics
NPI:1831542042
Name:TORRES, VIVIAN J (TSSH)
Entity type:Individual
Prefix:MS
First Name:VIVIAN
Middle Name:J
Last Name:TORRES
Suffix:
Gender:F
Credentials:TSSH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3242 MIDDLETOWN RD FL 1
Mailing Address - Street 2:PH
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10465-1045
Mailing Address - Country:US
Mailing Address - Phone:718-753-7295
Mailing Address - Fax:
Practice Address - Street 1:397 EAST 198 ST
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10458
Practice Address - Country:US
Practice Address - Phone:347-591-2550
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-22
Last Update Date:2016-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant