Provider Demographics
NPI:1902966641
Name:FRUMKIN, NEVA LESLIE (PHD, CCC-SLP)
Entity Type:Individual
Prefix:DR
First Name:NEVA
Middle Name:LESLIE
Last Name:FRUMKIN
Suffix:
Gender:F
Credentials:PHD, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17 WESTMORELAND AVE
Mailing Address - Street 2:
Mailing Address - City:LONGMEADOW
Mailing Address - State:MA
Mailing Address - Zip Code:01106-1425
Mailing Address - Country:US
Mailing Address - Phone:413-567-5601
Mailing Address - Fax:
Practice Address - Street 1:650 FRONT ST
Practice Address - Street 2:
Practice Address - City:CHICOPEE
Practice Address - State:MA
Practice Address - Zip Code:01013-3115
Practice Address - Country:US
Practice Address - Phone:413-594-3437
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA3538235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist