Active NPIIndividual providerSole proprietor

Vicki S Ettenger, MA, MA, CCC-SLP

Speech-Language Pathologist, in Pelham, New York

NPI Number1629344577
Practice location
28 Franklin Pl, Pelham, NY 10803-2144
Fax
—
Last updated
March 26, 2012

Vicki S. Ettenger is a Speech-Language Pathologist, based in Pelham, NY. Vicki S. Ettenger practices in Pelham, NY and has the professional credentials of MA, MA, CCC-SLP. The NPI Number for Vicki S. Ettenger is 1629344577 and holds a License No. 003620 (NY). The current practice location address for Vicki S. Ettenger is 28 Franklin Pl, Pelham, NY 10803-2144 and can be reached out via phone at 914-738-8190.

Provider Profile Details

NPI Number
1629344577
Provider Name
Vicki S. Ettenger
Credential
MA, MA, CCC-SLP
Provider Entity Type
Individual
Gender
Female
Address
28 Franklin Pl, Pelham, NY 10803-2144
Phone Number
914-738-8190
Primary Taxonomy
Speech-Language Pathologist, · 235Z00000X
Sole Proprietor
Yes
Provider Enumeration Date
March 26, 2012
Last Update Date
March 26, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
28 Franklin Pl
Pelham, NY 10803-2144
City
Pelham
Zip
10803-2144
Phone Number
914-738-8190
Pelham, NY 10803Get directions →

Provider Business Mailing Address Details

Address
28 Franklin Place
Pelham, NY 10803
City
Pelham
State
NY
Zip
10803
Phone Number
914-738-8190

License Information

License Number
003620
License State
NY
Taxonomy
Speech-Language Pathologist, · 235Z00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Vicki S Ettenger, MA, MA, CCC-SLP?

The NPI number of Vicki S Ettenger, MA, MA, CCC-SLP is 1629344577. It was assigned on March 26, 2012 and is currently active in the NPPES registry.

What is the specialty of Vicki S Ettenger, MA, MA, CCC-SLP?

Vicki S Ettenger, MA, MA, CCC-SLP is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X), licensed in NY under license number 003620.

Where does Vicki S Ettenger, MA, MA, CCC-SLP practice?

The practice location is 28 Franklin Pl, Pelham, NY 10803-2144. The office can be reached at 914-738-8190 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1629344577 directly on the NPPES registry website.

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