MEDICARE: MS. VALERIYA KATSNELSON M.S, CCC-SLP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	016644	NY

General Provider Information

NPI Number	:	1700010584
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. VALERIYA KATSNELSON M.S, CCC-SLP

Provider Business Mailing Address
First Line	:	2440 E 29TH ST
Second Line	:	APT. 3D
City	:	BROOKLYN
State	:	NY
Zip	:	11235-1950
Country	:	US
Telephone Number	:	347-410-0105
Fax Number	:

Provider Business Practice Location Address
First Line	:	2440 E 29TH ST
Second Line	:	APT. 3D
City	:	BROOKLYN
State	:	NY
Zip	:	11235-1950
Country	:	US
Telephone Number	:	347-410-0105
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/08/2009
Last Update Date	:	05/08/2009

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