Provider Demographics
NPI:1841843307
Name:SLATKY, ALANA BROOKE (CCC-SLP)
Entity type:Individual
Prefix:
First Name:ALANA
Middle Name:BROOKE
Last Name:SLATKY
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11920 UNION TPKE APT E2A4
Mailing Address - Street 2:
Mailing Address - City:KEW GARDENS
Mailing Address - State:NY
Mailing Address - Zip Code:11415-1125
Mailing Address - Country:US
Mailing Address - Phone:516-300-3399
Mailing Address - Fax:
Practice Address - Street 1:708 VANDALIA AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11239-2843
Practice Address - Country:US
Practice Address - Phone:718-264-3463
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-23
Last Update Date:2021-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist