Organization Name: | MJ KIDZ LLC |
NPI Number: | 1316361033 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MELISSA GRAHAM (MANAGING MEMBER) |
Mailing Address: | 1930 Marlton Pike E Suite A-1 Cherry Hill |
State: | NJ US |
Postal Code: | 080032150 |
Phone Number: | 8563752914 |
Fax Number: | 8564338057 |
NPI Enumeration Date: | 02/17/2014 |
NPI Last Update Date: | 03/17/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 41YS00637200 |
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 |