| Doctor Name: | ANASTASIA GEORGIOU |
| NPI Number: | 1821117052 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.S. CF SLP |
| License Number: | TL-1384 |
| Business Practice Address: | 7600 River Rd North Bergen, NJ - 070476217 |
| Business Phone Number: | 2018545400 |
| Business Fax Number: | |
| Mailing Address: | 30 Newport Pkwy, Apt 2114 JERSEY CITY |
| State: | NJ |
| Postal Code: | 073101503 |
| Phone Number: | 9545912013 |
| Fax Number: | |
| NPI Enumeration Date: | 03/28/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | TL-1384 |
| 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 |