Provider Demographics
NPI:1306160965
Name:ADLER, VICTORIA STEPHANIE (MS, CCC-SLP)
Entity type:Individual
Prefix:
First Name:VICTORIA
Middle Name:STEPHANIE
Last Name:ADLER
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 1:3353 82ND ST APT D42
Mailing Address - Street 2:
Mailing Address - City:JACKSON HEIGHTS
Mailing Address - State:NY
Mailing Address - Zip Code:11372-1443
Mailing Address - Country:US
Mailing Address - Phone:718-426-6256
Mailing Address - Fax:
Practice Address - Street 1:3353 82ND ST APT D42
Practice Address - Street 2:
Practice Address - City:JACKSON HEIGHTS
Practice Address - State:NY
Practice Address - Zip Code:11372-1443
Practice Address - Country:US
Practice Address - Phone:718-426-6256
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-03-24
Last Update Date:2010-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0177801235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist