Provider Demographics
NPI:1841759107
Name:TOMSKY, DEBRA FINK (MSCCCSLP)
Entity type:Individual
Prefix:MRS
First Name:DEBRA
Middle Name:FINK
Last Name:TOMSKY
Suffix:
Gender:F
Credentials:MSCCCSLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 S LAKE DR
Mailing Address - Street 2:
Mailing Address - City:STAMFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06903-1005
Mailing Address - Country:US
Mailing Address - Phone:203-536-0783
Mailing Address - Fax:
Practice Address - Street 1:2 S LAKE DR
Practice Address - Street 2:
Practice Address - City:STAMFORD
Practice Address - State:CT
Practice Address - Zip Code:06903-1005
Practice Address - Country:US
Practice Address - Phone:203-536-0783
Practice Address - Fax:212-266-4191
Is Sole Proprietor?:Yes
Enumeration Date:2019-03-17
Last Update Date:2019-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT001602235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist