Provider Demographics
NPI:1952546277
Name:PESSO-SAADA, SARI (MA, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:SARI
Middle Name:
Last Name:PESSO-SAADA
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 BRANCH CT
Mailing Address - Street 2:
Mailing Address - City:MARLBORO
Mailing Address - State:NJ
Mailing Address - Zip Code:07746-1966
Mailing Address - Country:US
Mailing Address - Phone:732-252-8835
Mailing Address - Fax:
Practice Address - Street 1:101 TYRELLAN AVE
Practice Address - Street 2:SUITE 300
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10309-2651
Practice Address - Country:US
Practice Address - Phone:718-966-4552
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-16
Last Update Date:2008-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY013537235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist