Provider Demographics
NPI:1881979375
Name:LATZMAN, RANDI BETH
Entity type:Individual
Prefix:MRS
First Name:RANDI
Middle Name:BETH
Last Name:LATZMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2150 E 66TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11234-6324
Mailing Address - Country:US
Mailing Address - Phone:347-742-0429
Mailing Address - Fax:
Practice Address - Street 1:1657A 8TH AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11215-5658
Practice Address - Country:US
Practice Address - Phone:718-499-8399
Practice Address - Fax:718-499-8394
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-15
Last Update Date:2011-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist