| Organization Name: | SPEECH BY THE BEACH |
| NPI Number: | 1912364357 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JESSICA PELLER (SPEECH LANGUAGE PATHOLOGIST) |
| Mailing Address: | 1037 Shore Rd Linwood |
| State: | NJ US |
| Postal Code: | 082212440 |
| Phone Number: | 6097036741 |
| Fax Number: | 8552824256 |
| NPI Enumeration Date: | 01/15/2016 |
| NPI Last Update Date: | 01/15/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 41YS00573300 |
| 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 |