Provider Demographics
NPI:1699506626
Name:WALDMAN, VANESSA MARIE (MS CFY SLP)
Entity type:Individual
Prefix:
First Name:VANESSA
Middle Name:MARIE
Last Name:WALDMAN
Suffix:
Gender:F
Credentials:MS CFY SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:215 W 101ST ST APT 7B
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10025-5049
Mailing Address - Country:US
Mailing Address - Phone:925-705-5569
Mailing Address - Fax:
Practice Address - Street 1:215 W 101ST ST APT 7B
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10025-5049
Practice Address - Country:US
Practice Address - Phone:925-705-5569
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-12
Last Update Date:2024-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist