Doctor Name: | CECELIA KURLAND |
NPI Number: | 1083824296 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 41YS00005700 |
Business Practice Address: | 1420 State Route 36 Bayshore Wellness Center Hazlet, NJ - 077301736 |
Business Phone Number: | 7323350398 |
Business Fax Number: | |
Mailing Address: | 11 Neal Dr, EAST BRUNSWICK |
State: | NJ |
Postal Code: | 088162930 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 05/23/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 41YS00005700 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |