Doctor Name: | SUSAN TULI |
NPI Number: | 1366654519 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA |
License Number: | 41YS00295100 |
Business Practice Address: | 151 Summit Avenue Summit, NJ - 07901 |
Business Phone Number: | 9085980228 |
Business Fax Number: | |
Mailing Address: | 137a Summit Road, FLORHAM PARK |
State: | NJ |
Postal Code: | 07932 |
Phone Number: | 9739661996 |
Fax Number: | |
NPI Enumeration Date: | 05/03/2007 |
NPI Last Update Date: | 12/28/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 41YS00295100 |
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 |