Doctor Name: | MARINA VERTLEYB |
NPI Number: | 1558715953 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 41YS00441100 |
Business Practice Address: | 270 Terrace Ave Hasbrouck Heights, NJ - 076041943 |
Business Phone Number: | 2014265599 |
Business Fax Number: | 2014265600 |
Mailing Address: | 2 Prospect Ave, WESTWOOD |
State: | NJ |
Postal Code: | 076752921 |
Phone Number: | 9173739519 |
Fax Number: | |
NPI Enumeration Date: | 04/21/2016 |
NPI Last Update Date: | 04/21/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 41YS00441100 |
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 |