Organization Name: | NORTHERN VALLEY SPEECH LANGUAGE LEARNING CENTER |
NPI Number: | 1740527191 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JILL SENDIK (SPEECH LANGUAGE THERAPIST) |
Mailing Address: | 300 Knickerbocker Rd Cresskill |
State: | NJ US |
Postal Code: | 076261350 |
Phone Number: | 2013997078 |
Fax Number: | 2013997080 |
NPI Enumeration Date: | 01/04/2013 |
NPI Last Update Date: | 01/04/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 41YS00450900 |
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 |