Provider Demographics
NPI:1588977045
Name:STROTHMAN, DENISE FRANCES (MA, CCC-SLP)
Entity type:Individual
Prefix:
First Name:DENISE
Middle Name:FRANCES
Last Name:STROTHMAN
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 CANDYTUFT CT
Mailing Address - Street 2:
Mailing Address - City:MASSAPEQUA
Mailing Address - State:NY
Mailing Address - Zip Code:11758-7363
Mailing Address - Country:US
Mailing Address - Phone:516-799-8619
Mailing Address - Fax:516-799-0059
Practice Address - Street 1:2 CANDYTUFT CT
Practice Address - Street 2:
Practice Address - City:MASSAPEQUA
Practice Address - State:NY
Practice Address - Zip Code:11758-7363
Practice Address - Country:US
Practice Address - Phone:516-799-8619
Practice Address - Fax:516-799-0059
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-26
Last Update Date:2010-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY007105-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist