Provider Demographics
NPI:1194972810
Name:JOSHI, SANJEEVANI S (MS, CCC-SLP)
Entity type:Individual
Prefix:
First Name:SANJEEVANI
Middle Name:S
Last Name:JOSHI
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2496 ANTONIA DR
Mailing Address - Street 2:
Mailing Address - City:NISKAYUNA
Mailing Address - State:NY
Mailing Address - Zip Code:12309-2438
Mailing Address - Country:US
Mailing Address - Phone:518-382-5915
Mailing Address - Fax:518-382-5915
Practice Address - Street 1:2496 ANTONIA DR
Practice Address - Street 2:
Practice Address - City:NISKAYUNA
Practice Address - State:NY
Practice Address - Zip Code:12309-2438
Practice Address - Country:US
Practice Address - Phone:518-382-5915
Practice Address - Fax:518-382-5915
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-25
Last Update Date:2008-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY017634-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist