Provider Demographics
NPI:1992081350
Name:DOBSHINSKY, ORLY REBECCA (CCC-SLP)
Entity type:Individual
Prefix:MS
First Name:ORLY
Middle Name:REBECCA
Last Name:DOBSHINSKY
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:392 CENTRAL PARK W
Mailing Address - Street 2:APT. 5Y
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10025-5860
Mailing Address - Country:US
Mailing Address - Phone:908-216-2005
Mailing Address - Fax:
Practice Address - Street 1:34 W 118TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10026-1937
Practice Address - Country:US
Practice Address - Phone:646-894-6407
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-31
Last Update Date:2013-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY020343-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist