Doctor Name: | VIKTORIYA BERDICHEVSKY |
NPI Number: | 1225388549 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S., SLP |
License Number: | |
Business Practice Address: | 30 Warren St Brighton, MA - 021353602 |
Business Phone Number: | 6172543800 |
Business Fax Number: | |
Mailing Address: | 89 Adeline Rd, NEWTON |
State: | MA |
Postal Code: | 024592742 |
Phone Number: | 8572220668 |
Fax Number: | |
NPI Enumeration Date: | 09/13/2012 |
NPI Last Update Date: | 05/23/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |