Dicesa, Lady Johanna

Dicesa, Lady Johanna is an individual health care provider with primary practice located at 7000 Austin St Suite 200, Forest Hills NY 11375-1022. She recently has 2 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Speech-Language Pathologist, Student, Health Care / Student in an Organized Health Care Education/Training Program. Speech, Language and Hearing Service Providers / Speech-Language Pathologist is her primary health care specialty. Dicesa, Lady Johanna can be contacted via phone (718) 762-7633.

Contact Information

Primary practice address
7000 Austin St Suite 200 Forest Hills NY 11375-1022
Phone: (718) 762-7633
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 022620 New York
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1003163049
LBN Legal business name Dicesa, Lady Johanna
Credentials SLP, TSLD
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2012
Last updated Jan 25th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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