Provider Demographics
NPI:1669172680
Name:GREENWALD, NETANYA (MS, CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:NETANYA
Middle Name:
Last Name:GREENWALD
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7650 LAGO DEL MAR DR APT 204
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33433-4983
Mailing Address - Country:US
Mailing Address - Phone:347-237-6697
Mailing Address - Fax:
Practice Address - Street 1:7350 ANDORRA PL
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33433-4952
Practice Address - Country:US
Practice Address - Phone:561-908-3488
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-08
Last Update Date:2025-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSZ11136390200000X
FLSA23025235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program