Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Anastasia Ivanova, MSCCC-SLP, TSSLD

Individual provider Speech-Language Pathologist · NPI 1902365810

Anastasia Ivanova, MSCCC-SLP, TSSLD is a Speech-Language Pathologist in Brooklyn, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2019

Practice location Address checks out

3368 Shore Pkwy Apt B4
Brooklyn, NY 11235-2713
Phone: (646) 410-6879
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 028568 (NY)

Record details

NPI number1902365810
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSCCC-SLP , TSSLD
Sole proprietorYes
NPI enumeratedMarch 19, 2019
Last updated in NPPESMarch 19, 2019

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