Provider Demographics
NPI:1164247284
Name:LUTCHMAN, NAOMI RUTH (CF-SLP)
Entity type:Individual
Prefix:
First Name:NAOMI
Middle Name:RUTH
Last Name:LUTCHMAN
Suffix:
Gender:F
Credentials:CF-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13049 118TH ST
Mailing Address - Street 2:
Mailing Address - City:SOUTH OZONE PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11420-2332
Mailing Address - Country:US
Mailing Address - Phone:347-306-6228
Mailing Address - Fax:
Practice Address - Street 1:13340 79TH ST
Practice Address - Street 2:
Practice Address - City:HOWARD BEACH
Practice Address - State:NY
Practice Address - Zip Code:11414-1009
Practice Address - Country:US
Practice Address - Phone:347-464-3441
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-22
Last Update Date:2024-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist