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SOUTH JERSEY SPEECH LANGUAGE PATHOLOGY NPI 1427566082


NPI Information

NPI: 1427566082
Provider Name: SOUTH JERSEY SPEECH LANGUAGE PATHOLOGY

Doing Business As: SJSLP

Classification: Clinic/Center - 261QH0700X
Entity Type: Organization

Specialization: Hearing and Speech

Address:
1118 PARK AVE
COLLINGSWOOD, NJ
ZIP 08108
Phone: (646) 234-3756
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SOUTH JERSEY SPEECH LANGUAGE PATHOLOGY is a hearing and speech clinic center in Collingswood, NJ. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, prescriptive, and therapy services related to congenital and acquired conditions and diseases that affect hearing capacity and speech ability. SOUTH JERSEY SPEECH LANGUAGE PATHOLOGY NPI is 1427566082. The provider is registered as an organization entity type.
The provider Is Doing Business As Sjslp.

The provider's business location address is:

1118 PARK AVE
COLLINGSWOOD, NJ
ZIP 08108-317
Phone: (646) 234-3756
Fax: (856) 210-7488

The provider's authorized official is Maribel Willson .
The authorized official title is Owner and has the following contact phone number (646) 234-3756.

The enumeration date for this NPI number is 1/17/2018 and was last updated on 6/16/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QH0700XClinic/CenterHearing and Speech41YS00849400NEW JERSEYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11114259850MEDICAIDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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