Provider Demographics
NPI:1730511627
Name:BHASIN, PREETHI CYNTHIA (MS)
Entity type:Individual
Prefix:MRS
First Name:PREETHI
Middle Name:CYNTHIA
Last Name:BHASIN
Suffix:
Gender:F
Credentials:MS
Other - Prefix:MS
Other - First Name:PREETHI
Other - Middle Name:CYNTHIA
Other - Last Name:KUMAR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:10 HILLSIDE AVE
Mailing Address - Street 2:APT 2N
Mailing Address - City:VALHALLA
Mailing Address - State:NY
Mailing Address - Zip Code:10595-2148
Mailing Address - Country:US
Mailing Address - Phone:973-876-8121
Mailing Address - Fax:
Practice Address - Street 1:10 HILLSIDE AVE
Practice Address - Street 2:APT 2N
Practice Address - City:VALHALLA
Practice Address - State:NY
Practice Address - Zip Code:10595-2148
Practice Address - Country:US
Practice Address - Phone:973-876-8121
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-02
Last Update Date:2013-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist