Doctor Name: | CARLA A FISHBEIN |
NPI Number: | 1649342965 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S.P.A.,CCC |
License Number: | 41Y500206100 |
Business Practice Address: | 163 Engle St Building 1b Englewood, NJ - 076312535 |
Business Phone Number: | 2012865138 |
Business Fax Number: | |
Mailing Address: | 75 Sherwood Rd, TENAFLY |
State: | NJ |
Postal Code: | 076702734 |
Phone Number: | 2015681251 |
Fax Number: | |
NPI Enumeration Date: | 11/14/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 41Y500206100 |
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 |