Active NPIIndividual provider

Ms. Crystal E Mbua, MA, CCC-SLP

Speech-Language Pathologist, in Fairfield, New Jersey

NPI Number1053128678
Practice location
155 Passaic Ave Ste 150, Fairfield, NJ 07004-3562
Fax
—
Last updated
December 17, 2024

Crystal Eposi Mbua is a Speech-Language Pathologist, based in Fairfield, NJ. Crystal Eposi Mbua practices in Fairfield, NJ and has the professional credentials of MA, CCC-SLP. The NPI Number for Crystal Eposi Mbua is 1053128678 and holds a License No. 41YS01300100 (NJ). The current practice location address for Crystal Eposi Mbua is 155 Passaic Ave Ste 150, Fairfield, NJ 07004-3562 and can be reached out via phone at 973-800-8515.

Provider Profile Details

NPI Number
1053128678
Provider Name
Crystal Eposi Mbua
Credential
MA, CCC-SLP
Provider Entity Type
Individual
Gender
Female
Address
155 Passaic Ave Ste 150, Fairfield, NJ 07004-3562
Phone Number
973-800-8515
Primary Taxonomy
Speech-Language Pathologist, · 235Z00000X
Sole Proprietor
No
Provider Enumeration Date
December 17, 2024
Last Update Date
December 17, 2024
Certification Date
December 15, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
155 Passaic Ave Ste 150
Fairfield, NJ 07004-3562
Zip
07004-3562
Phone Number
973-800-8515
Fairfield, NJ 07004Get directions →

Provider Business Mailing Address Details

Address
155 Passaic Ave Ste 150
Fairfield, NJ 07004-3562
City
Fairfield
State
NJ
Zip
07004-3562
Phone Number
973-800-8515

License Information

License Number
41YS01300100
License State
NJ
Taxonomy
Speech-Language Pathologist, · 235Z00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ms. Crystal E Mbua, MA, CCC-SLP?

The NPI number of Ms. Crystal E Mbua, MA, CCC-SLP is 1053128678. It was assigned on December 17, 2024 and is currently active in the NPPES registry.

What is the specialty of Ms. Crystal E Mbua, MA, CCC-SLP?

Ms. Crystal E Mbua, MA, CCC-SLP is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X), licensed in NJ under license number 41YS01300100.

Where does Ms. Crystal E Mbua, MA, CCC-SLP practice?

The practice location is 155 Passaic Ave Ste 150, Fairfield, NJ 07004-3562. The office can be reached at 973-800-8515 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1053128678 directly on the NPPES registry website.

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