| Organization Name: | COASTAL AUDIOLOGY LLC |
| NPI Number: | 1740207158 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | STEVEN ERIC BERMAN (AUDIOLOGIST SPEECH PATHOLOGIST) |
| Mailing Address: | 24 Nautilus Dr Suite 6 Manahawkin |
| State: | NJ US |
| Postal Code: | 080502490 |
| Phone Number: | 6099789192 |
| Fax Number: | 6097989190 |
| NPI Enumeration Date: | 07/16/2006 |
| NPI Last Update Date: | 08/13/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 41YB00000800 |
| 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 |