Provider Demographics
NPI:1689265399
Name:SCHWEITZER, ELENA MARIA (TSSLD-SLP)
Entity type:Individual
Prefix:
First Name:ELENA
Middle Name:MARIA
Last Name:SCHWEITZER
Suffix:
Gender:F
Credentials:TSSLD-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5040 JACOBUS ST
Mailing Address - Street 2:
Mailing Address - City:ELMHURST
Mailing Address - State:NY
Mailing Address - Zip Code:11373-3702
Mailing Address - Country:US
Mailing Address - Phone:718-429-7006
Mailing Address - Fax:
Practice Address - Street 1:5040 JACOBUS ST
Practice Address - Street 2:
Practice Address - City:ELMHURST
Practice Address - State:NY
Practice Address - Zip Code:11373-3806
Practice Address - Country:US
Practice Address - Phone:347-599-3460
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-27
Last Update Date:2024-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY030492235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist