Provider Demographics
NPI:1144475500
Name:SORSCHER, CHAYA FRAYDEL (MS CCC-SLP/A TSHH)
Entity type:Individual
Prefix:MS
First Name:CHAYA
Middle Name:FRAYDEL
Last Name:SORSCHER
Suffix:
Gender:F
Credentials:MS CCC-SLP/A TSHH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4499 HENRY HUDSON PKWY
Mailing Address - Street 2:APT 4A
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10471-3828
Mailing Address - Country:US
Mailing Address - Phone:718-543-0105
Mailing Address - Fax:
Practice Address - Street 1:4499 HENRY HUDSON PKWY
Practice Address - Street 2:APT 4A
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10471-3828
Practice Address - Country:US
Practice Address - Phone:718-543-0105
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-25
Last Update Date:2010-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY012952235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist