Provider Demographics
NPI:1982905394
Name:SOMMERS SCHNEIDER, JUDY ESTA (MS CCC-SLP)
Entity Type:Individual
Prefix:
First Name:JUDY
Middle Name:ESTA
Last Name:SOMMERS SCHNEIDER
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2711 HENRY HUDSON PKWY
Mailing Address - Street 2:#6E
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10463-4713
Mailing Address - Country:US
Mailing Address - Phone:718-884-0378
Mailing Address - Fax:718-884-1389
Practice Address - Street 1:2711 HENRY HUDSON PKWY
Practice Address - Street 2:#6E
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10463-4713
Practice Address - Country:US
Practice Address - Phone:718-884-0378
Practice Address - Fax:718-884-1389
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-16
Last Update Date:2010-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY008441235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist