Provider Demographics
NPI:1306047204
Name:KIRSH, RISA (MS CCC SP)
Entity type:Individual
Prefix:MS
First Name:RISA
Middle Name:
Last Name:KIRSH
Suffix:
Gender:F
Credentials:MS CCC SP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 HUNTER AVE
Mailing Address - Street 2:
Mailing Address - City:ARMONK
Mailing Address - State:NY
Mailing Address - Zip Code:10504-2022
Mailing Address - Country:US
Mailing Address - Phone:914-273-6820
Mailing Address - Fax:
Practice Address - Street 1:1 HUNTER AVE
Practice Address - Street 2:
Practice Address - City:ARMONK
Practice Address - State:NY
Practice Address - Zip Code:10504-2022
Practice Address - Country:US
Practice Address - Phone:914-273-6820
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY004143-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist