Doctor Name: | SHARA HOLZBERG |
NPI Number: | 1295070332 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS,CCC-SLP |
License Number: | 02188 |
Business Practice Address: | 55 Meadowlands Pkwy Mhmc; Department Of Ncr - 2nd Floor Secaucus, NJ - 070942977 |
Business Phone Number: | 2013923100 |
Business Fax Number: | 2012713688 |
Mailing Address: | 55 Meadowlands Pkwy, Mhmc; Department Of Ncr - 2nd Floor SECAUCUS |
State: | NJ |
Postal Code: | 070942977 |
Phone Number: | 2013923100 |
Fax Number: | 2012713688 |
NPI Enumeration Date: | 11/30/2012 |
NPI Last Update Date: | 11/30/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 02188 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NY |
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 |