Provider Demographics
NPI:1154622041
Name:POMERANTZ, LINDA EVELYN (SLP)
Entity type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:EVELYN
Last Name:POMERANTZ
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6618 VETERANS AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11234-5720
Mailing Address - Country:US
Mailing Address - Phone:718-531-5306
Mailing Address - Fax:212-267-6664
Practice Address - Street 1:6618 VETERANS AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11234-5720
Practice Address - Country:US
Practice Address - Phone:718-531-5306
Practice Address - Fax:212-267-6664
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-08
Last Update Date:2010-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY002337-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist