| Organization Name: | GARDEN STATE SPEECH THERAPY |
| NPI Number: | 1740647528 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | PAULA KORIK (CO-OWNER) |
| Mailing Address: | 558 Anderson Ave Cliffside Park |
| State: | NJ US |
| Postal Code: | 070101704 |
| Phone Number: | 2019659695 |
| Fax Number: | 2018290817 |
| NPI Enumeration Date: | 01/25/2016 |
| NPI Last Update Date: | 01/25/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 41YS00603400 |
| 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 |