Organization Name: | TRI-STATE THERAPY CONSULTANTS, LLC |
NPI Number: | 1225105265 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | INGRID JANELLA CREW (SPEECH-LANGUAGE PATHOLOGIST) |
Mailing Address: | 23 Roosevelt Blvd Berlin |
State: | NJ US |
Postal Code: | 080091192 |
Phone Number: | 8567404447 |
Fax Number: | 8567404949 |
NPI Enumeration Date: | 11/28/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 41YS00320900 |
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 |