| Doctor Name: | ANGELA PRASAD |
| NPI Number: | 1538599576 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 41YS00624000 |
| Business Practice Address: | 118 Main St Succasunna, NJ - 078761385 |
| Business Phone Number: | 9735844000 |
| Business Fax Number: | 9739334510 |
| Mailing Address: | 401 Ridge Rd, Suite 1 DAYTON |
| State: | NJ |
| Postal Code: | 088103300 |
| Phone Number: | 7322303076 |
| Fax Number: | 8668624631 |
| NPI Enumeration Date: | 11/12/2013 |
| NPI Last Update Date: | 11/12/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 41YS00624000 |
| 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 |