Provider Demographics
NPI:1124470885
Name:HIGHFIELD, SOFIA (CCC-SLP)
Entity type:Individual
Prefix:
First Name:SOFIA
Middle Name:
Last Name:HIGHFIELD
Suffix:
Gender:
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1492 E 12TH ST APT 2B
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11230-6698
Mailing Address - Country:US
Mailing Address - Phone:718-666-8423
Mailing Address - Fax:
Practice Address - Street 1:1492 E 12TH ST APT 2B
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11230-6698
Practice Address - Country:US
Practice Address - Phone:718-666-8423
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-06
Last Update Date:2025-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY14074641235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist