Individual provider · Type 1 NPI

Calista Pegeder, MS, CF-SLP, TSSLD

Student in an Organized Health Care Education/Training Program · Bronx, NY

NPI number 1457112005 Active

Practice location

1909 Longfellow Ave
Bronx, NY 10460-4431

Call (347) 497-3998 Map

Mailing address

1923 Greene Ave # 1R
Ridgewood, NY 11385-1965

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1457112005

Calista Pegeder, MS, CF-SLP, TSSLD's National Provider Identifier is 1457112005, issued on Jan 22, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Bronx, NY. The record was last updated on Jan 22, 2024.