Individual
ANNA SOLOVIEV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
TSSLD, M.A., CCC-SLP
Contact information
Practice address
350 5TH AVE, BROOKLYN, NY 11215-2813
(718) 369-7603
Mailing address
350 5TH AVE, BROOKLYN, NY 11215-2813
(718) 369-7603
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
019320
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
019320
SPEECH LANGUAGE PATHOLOGIST LICENSE
NY
01
—
12097507
AMERICAN SPEECH-HEARING ASSOCIATION CERTIFICATE
NY
Enumeration date
11/02/2011
Last updated
11/02/2011
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