Provider Demographics
NPI:1538603287
Name:FERRARI, BETH (SLP)
Entity type:Individual
Prefix:
First Name:BETH
Middle Name:
Last Name:FERRARI
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:36 OAKDALE MNR
Mailing Address - Street 2:
Mailing Address - City:SUFFERN
Mailing Address - State:NY
Mailing Address - Zip Code:10901-6115
Mailing Address - Country:US
Mailing Address - Phone:917-687-3337
Mailing Address - Fax:
Practice Address - Street 1:1970 W FARMS RD
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10460-6024
Practice Address - Country:US
Practice Address - Phone:718-842-2670
Practice Address - Fax:718-842-2857
Is Sole Proprietor?:Yes
Enumeration Date:2016-12-15
Last Update Date:2016-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY021062235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist