| Doctor Name: | MS. VIVIAN DIANE SISSKIN |
| NPI Number: | 1518100189 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.S., CCC-SLP |
| License Number: | 2202002160 |
| Business Practice Address: | 0100 Lefrak Hall Dept. Of Hearing & Speech Scienceuniversity Of Maryland College Park, MD - 20742 |
| Business Phone Number: | 3014054232 |
| Business Fax Number: | 3013142023 |
| Mailing Address: | 0100 Lefrak Hall, Dept. Of Hearing & Speech Scienceuniversity Of Maryland COLLEGE PARK |
| State: | MD |
| Postal Code: | 20742 |
| Phone Number: | 3014054232 |
| Fax Number: | 3013142023 |
| NPI Enumeration Date: | 04/13/2009 |
| NPI Last Update Date: | 04/13/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 2202002160 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | VA |
| 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 |