Active NPIIndividual providerSole proprietor

Shana Lazar, MA CCC-SLP

Speech-Language Pathologist, in Fort Lee, New Jersey

NPI Number1104067875
Practice location
1600 Parker Ave, 11A, Fort Lee, NJ 07024-7050
Fax
—
Last updated
March 10, 2009

Shana Lazar is a Speech-Language Pathologist, based in Fort Lee, NJ. Shana Lazar practices in Fort Lee, NJ and has the professional credentials of MA CCC-SLP. The NPI Number for Shana Lazar is 1104067875 and holds a License No. 009978-1 (NY). The current practice location address for Shana Lazar is 1600 Parker Ave, 11A, Fort Lee, NJ 07024-7050 and can be reached out via phone at 201-592-8721.

Provider Profile Details

NPI Number
1104067875
Provider Name
Shana Lazar
Credential
MA CCC-SLP
Provider Entity Type
Individual
Gender
Female
Address
1600 Parker Ave, 11A, Fort Lee, NJ 07024-7050
Phone Number
201-592-8721
Primary Taxonomy
Speech-Language Pathologist, · 235Z00000X
Sole Proprietor
Yes
Provider Enumeration Date
March 10, 2009
Last Update Date
March 10, 2009
NPI Status
Active

Provider Business Practice Location Address Details

Address
1600 Parker Ave
11A
Fort Lee, NJ 07024-7050
Zip
07024-7050
Phone Number
201-592-8721
Fort Lee, NJ 07024Get directions →

Provider Business Mailing Address Details

Address
1600 Parker Ave
11A
Fort Lee, NJ 07024-7050
City
Fort Lee
State
NJ
Zip
07024-7050

License Information

License Number
009978-1
License State
NY
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 Shana Lazar, MA CCC-SLP?

The NPI number of Shana Lazar, MA CCC-SLP is 1104067875. It was assigned on March 10, 2009 and is currently active in the NPPES registry.

What is the specialty of Shana Lazar, MA CCC-SLP?

Shana Lazar, MA CCC-SLP is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X), licensed in NY under license number 009978-1.

Where does Shana Lazar, MA CCC-SLP practice?

The practice location is 1600 Parker Ave, 11A, Fort Lee, NJ 07024-7050. The office can be reached at 201-592-8721 (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 1104067875 directly on the NPPES registry website.

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