| Organization Name: | AUDIOPEDICS, SPEECH AND HEARING CENTER, LLC |
| NPI Number: | 1487894192 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SHAILASHREE CHANNAPATNA NANJUNDIAH (AUDIOLOGIST AND SPEECH PATHOLOGIST) |
| Mailing Address: | 456 Route 22 West Whitehouse |
| State: | NJ US |
| Postal Code: | 088880000 |
| Phone Number: | 9084791341 |
| Fax Number: | 9085340144 |
| NPI Enumeration Date: | 02/20/2009 |
| NPI Last Update Date: | 06/18/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 41YB00005600 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| 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 |