| Organization Name: | MIDSTATE THERAPY ASSOCIATES LLC |
| NPI Number: | 1568672913 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MERRILL SUE STAUBER (SPEECH THERAPIST) |
| Mailing Address: | 219 Taylor Mills Rd Manalapan |
| State: | NJ US |
| Postal Code: | 077263255 |
| Phone Number: | 7324315093 |
| Fax Number: | 7324315094 |
| NPI Enumeration Date: | 05/23/2007 |
| NPI Last Update Date: | 08/09/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 41YS00180400 |
| 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 |