Provider Demographics
NPI:1124496419
Name:SETHI, SIMERJIT KAUR (MS, CCC-SLP)
Entity type:Individual
Prefix:
First Name:SIMERJIT
Middle Name:KAUR
Last Name:SETHI
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:SIMERJIT
Other - Middle Name:KAUR
Other - Last Name:MATHARU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, CCC-SLP
Mailing Address - Street 1:222 STATION PLZ N
Mailing Address - Street 2:SUITE 103
Mailing Address - City:MINEOLA
Mailing Address - State:NY
Mailing Address - Zip Code:11501-3800
Mailing Address - Country:US
Mailing Address - Phone:516-663-1314
Mailing Address - Fax:516-663-1315
Practice Address - Street 1:222 STATION PLZ N
Practice Address - Street 2:SUITE 103
Practice Address - City:MINEOLA
Practice Address - State:NY
Practice Address - Zip Code:11501-3800
Practice Address - Country:US
Practice Address - Phone:516-663-1314
Practice Address - Fax:516-663-1315
Is Sole Proprietor?:No
Enumeration Date:2015-09-03
Last Update Date:2015-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY025103235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist