Damaris Arce, MA, CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Glendale, NY
NPI 1962647370 · NPPES record last updated Dec 14, 2008
Key facts
- NPI
- 1962647370
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 016057-1 (NY)
- Practice address
- 7841 78TH St
Glendale, NY 11385-7444 - Phone
- (718) 456-1022
- NPI assigned
- Dec 14, 2008
- 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)
- Yes
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 016057-1 | NY | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 016057-1 | NY | Yes |
Addresses
Primary practice location
7841 78TH St
Glendale, NY 11385-7444
Mailing address
7841 78TH St
Glendale, NY 11385-7444
Phone (718) 456-1022
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All providers in Glendale, 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, 2008. 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.