Provider Demographics
NPI:1487891693
Name:WELZ KAHAN, SHEVY (SLP)
Entity type:Individual
Prefix:MRS
First Name:SHEVY
Middle Name:
Last Name:WELZ KAHAN
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:SHEVY
Other - Middle Name:
Other - Last Name:WELZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:SLP
Mailing Address - Street 1:6 DORSET RD
Mailing Address - Street 2:
Mailing Address - City:SPRING VALLEY
Mailing Address - State:NY
Mailing Address - Zip Code:10977-3313
Mailing Address - Country:US
Mailing Address - Phone:845-371-5840
Mailing Address - Fax:
Practice Address - Street 1:6 DORSET RD
Practice Address - Street 2:
Practice Address - City:SPRING VALLEY
Practice Address - State:NY
Practice Address - Zip Code:10977-3313
Practice Address - Country:US
Practice Address - Phone:845-371-5840
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-09
Last Update Date:2009-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0135831235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist