Provider Demographics
NPI:1053565960
Name:LIVSHITS, DEENA S (MS CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:DEENA
Middle Name:S
Last Name:LIVSHITS
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:WOODMERE SPEECH
Other - Middle Name:
Other - Last Name:LANGUGE PATHOLOGY PC
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:832 KEENE LN
Mailing Address - Street 2:
Mailing Address - City:WOODMERE
Mailing Address - State:NY
Mailing Address - Zip Code:11598-2209
Mailing Address - Country:US
Mailing Address - Phone:516-312-6528
Mailing Address - Fax:516-674-9413
Practice Address - Street 1:832 KEENE LN
Practice Address - Street 2:
Practice Address - City:WOODMERE
Practice Address - State:NY
Practice Address - Zip Code:11598-2209
Practice Address - Country:US
Practice Address - Phone:516-312-6528
Practice Address - Fax:516-674-9413
Is Sole Proprietor?:No
Enumeration Date:2008-11-06
Last Update Date:2014-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY016106235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist