Healthcare Provider Details

I. General information

NPI: 1386153765
Provider Name (Legal Business Name): HALIE FRANKEL M.A., CCC - SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/28/2017
Last Update Date: 03/10/2023
Certification Date: 03/10/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

253 LORETTO ST
STATEN ISLAND NY
10307
US

IV. Provider business mailing address

253 LORETTO ST
STATEN ISLAND NY
10307-1986
US

V. Phone/Fax

Practice location:
  • Phone: 347-463-0215
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number028072
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: