Provider Demographics
NPI:1528848611
Name:QUANSAH, PAMELA (SLP)
Entity type:Individual
Prefix:
First Name:PAMELA
Middle Name:
Last Name:QUANSAH
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:54 CRYSTAL ST
Mailing Address - Street 2:
Mailing Address - City:ELMONT
Mailing Address - State:NY
Mailing Address - Zip Code:11003-4214
Mailing Address - Country:US
Mailing Address - Phone:917-704-7591
Mailing Address - Fax:
Practice Address - Street 1:54 CRYSTAL ST
Practice Address - Street 2:
Practice Address - City:ELMONT
Practice Address - State:NY
Practice Address - Zip Code:11003-4214
Practice Address - Country:US
Practice Address - Phone:917-704-7591
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-05
Last Update Date:2023-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty