Organization Name: | CENTRAL JERSEY SPEECH, OCCUPATIONAL & SPEECH |
NPI Number: | 1104139179 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | FAIGA DISKIND (DIRECTOR) |
Mailing Address: | 1004 Lexington Ave Lakewood |
State: | NJ US |
Postal Code: | 087011863 |
Phone Number: | 7323676332 |
Fax Number: | |
NPI Enumeration Date: | 07/20/2010 |
NPI Last Update Date: | 07/20/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | YS00622 |
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 |