Nancy Forberg

Individual provider Active NPI Speech-Language Pathologist · Oakdale, NY

NPI 1598032625 · NPPES record last updated Nov 17, 2011

Key facts

NPI
1598032625
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
006261 (NY)
Practice address
88 Fernwood Ave
Oakdale, NY 11769-2022
Phone
(631) 218-0530
NPI assigned
Nov 17, 2011
Sex
Female
Sole proprietor
Yes

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 006261 NY Yes

Addresses

Primary practice location

88 Fernwood Ave
Oakdale, NY 11769-2022

Mailing address

88 Fernwood Ave
Oakdale, NY 11769-2022

Other providers in Oakdale, NY

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

Sources for this page

Verify at the official NPI Registry.