Individual
MS. VIVIAN DIANE SISSKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
0100 LEFRAK HALL, DEPT. OF HEARING & SPEECH SCIENCEUNIVERSITY OF MARYLAND, COLLEGE PARK, MD 20742
(301) 405-4232
(301) 314-2023
Mailing address
0100 LEFRAK HALL, DEPT. OF HEARING & SPEECH SCIENCEUNIVERSITY OF MARYLAND, COLLEGE PARK, MD 20742
(301) 405-4232
(301) 314-2023
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
02832
MD
235Z00000X
Speech-Language Pathologist
2202002160
VA
235Z00000X
Speech-Language Pathologist
4476
CA
Other
Enumeration date
04/13/2009
Last updated
04/13/2009
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