Souphe Widdi
Souphe Widdi 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
- 2018
- Specialties on file
- 2
Practice location Address checks out
80 Mackay PlBrooklyn, NY 11209-1104
Phone: (718) 986-5614
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Specialties & licences
| Speech-Language Pathologist (primary) | Taxonomy 235Z00000X · Licence 026170 (NY) |
|---|---|
| Speech-Language Pathologist | Taxonomy 235Z00000X · Licence 14045095 (NY) |
Record details
| NPI number | 1093280448 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | October 11, 2018 |
| Last updated in NPPES | August 5, 2022 |
| Certification date | August 5, 2022 |
| Mailing address | 80 Mackay Pl, Brooklyn, NY 11209-1104 |
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