Victoria Stephanie Adler, MS, CCC-SLP

Individual provider Active NPI Speech-Language Pathologist · Jackson Heights, NY

NPI 1306160965 · NPPES record last updated Mar 24, 2010

Key facts

NPI
1306160965
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
0177801 (NY)
Practice address
3353 82ND St Apt D42
Jackson Heights, NY 11372-1443
Phone
(718) 426-6256
NPI assigned
Mar 24, 2010
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
0177801NYMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 0177801 NY Yes

Addresses

Primary practice location

3353 82ND St Apt D42
Jackson Heights, NY 11372-1443

Mailing address

3353 82ND St Apt D42
Jackson Heights, NY 11372-1443
Phone (718) 426-6256

Other providers in Jackson Heights, NY

All providers in Jackson Heights, NY · Speech-Language Pathologist in New York

Sources for this page

Verify at the official NPI Registry.