Provider Demographics
NPI:1396998068
Name:ABOFF, BETTY (MA CCC SL/P)
Entity type:Individual
Prefix:MRS
First Name:BETTY
Middle Name:
Last Name:ABOFF
Suffix:
Gender:F
Credentials:MA CCC SL/P
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:476 DURYEA TER
Mailing Address - Street 2:
Mailing Address - City:WEST HEMPSTEAD
Mailing Address - State:NY
Mailing Address - Zip Code:11552-3002
Mailing Address - Country:US
Mailing Address - Phone:516-565-0189
Mailing Address - Fax:
Practice Address - Street 1:511 HEMPSTEAD AVENUE
Practice Address - Street 2:KINDERKARE
Practice Address - City:WEST HEMPSTEAD
Practice Address - State:NY
Practice Address - Zip Code:11552
Practice Address - Country:US
Practice Address - Phone:516-565-0388
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-28
Last Update Date:2008-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY006684235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist