Randi Ackerman
Individual provider Active NPI Speech-Language Pathologist · Yorktown Heights, NY
NPI 1902175359 · NPPES record last updated Dec 14, 2011
Key facts
- NPI
- 1902175359
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 002366-1 (NY)
- Practice address
- 2285 Broad St
Yorktown Heights, NY 10598-3814 - Phone
- (914) 243-8090
- NPI assigned
- Dec 14, 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002366-1 | NY | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 002366-1 | NY | Yes |
Addresses
Primary practice location
2285 Broad St
Yorktown Heights, NY 10598-3814
Mailing address
7 Pine Tree Drive
Katonah, NY 10536-3334
Other providers in Yorktown Heights, NY
- 2000 Medical Associates LLC
- A.S.F. Hearing Aid Centers, Inc.
- Stanley Abraham
- Acme Markets Inc
- Adrianna Nurse Practitioner Family Health
- Advanced Performance Therapy
- Danielle Aguilar
- Michelle Ashley Ahearn
All providers in Yorktown Heights, NY · Speech-Language Pathologist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 14, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.