Provider Demographics
NPI:1154606002
Name:BERDINI, VALERIA (MS,SLP)
Entity type:Individual
Prefix:
First Name:VALERIA
Middle Name:
Last Name:BERDINI
Suffix:
Gender:F
Credentials:MS,SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6541 SAUNDERS ST
Mailing Address - Street 2:1E
Mailing Address - City:REGO PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11374-4255
Mailing Address - Country:US
Mailing Address - Phone:646-684-7794
Mailing Address - Fax:
Practice Address - Street 1:6541 SAUNDERS ST
Practice Address - Street 2:1E
Practice Address - City:REGO PARK
Practice Address - State:NY
Practice Address - Zip Code:11374-4255
Practice Address - Country:US
Practice Address - Phone:646-684-7794
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-10-11
Last Update Date:2011-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY019834235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist