Active NPIIndividual provider

Maria Koutsoumbis, MS, CCC-SLP

Speech-Language Pathologist, in Fairfield, New Jersey

NPI Number1154162659
Practice location
155 Passaic Ave, Fairfield, NJ 07004-3561
Fax
—
Last updated
June 6, 2024

Maria Koutsoumbis is a Speech-Language Pathologist, based in Fairfield, NJ. Maria Koutsoumbis practices in Fairfield, NJ and has the professional credentials of MS, CCC-SLP. The NPI Number for Maria Koutsoumbis is 1154162659 and holds a License No. 41YS01265700 (NJ). The current practice location address for Maria Koutsoumbis is 155 Passaic Ave, Fairfield, NJ 07004-3561 and can be reached out via phone at 973-800-8515.

Provider Profile Details

NPI Number
1154162659
Provider Name
Maria Koutsoumbis
Credential
MS, CCC-SLP
Provider Entity Type
Individual
Gender
Female
Address
155 Passaic Ave, Fairfield, NJ 07004-3561
Phone Number
973-800-8515
Primary Taxonomy
Speech-Language Pathologist, · 235Z00000X
Sole Proprietor
No
Provider Enumeration Date
June 6, 2024
Last Update Date
June 6, 2024
Certification Date
June 5, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
155 Passaic Ave
Fairfield, NJ 07004-3561
Zip
07004-3561
Phone Number
973-800-8515
Fairfield, NJ 07004Get directions →

Provider Business Mailing Address Details

Address
167 Victoria Ave
Paramus, NJ 07652-1941
City
Paramus
State
NJ
Zip
07652-1941
Phone Number
201-315-6389

License Information

License Number
41YS01265700
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 Maria Koutsoumbis, MS, CCC-SLP?

The NPI number of Maria Koutsoumbis, MS, CCC-SLP is 1154162659. It was assigned on June 6, 2024 and is currently active in the NPPES registry.

What is the specialty of Maria Koutsoumbis, MS, CCC-SLP?

Maria Koutsoumbis, MS, CCC-SLP is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X), licensed in NJ under license number 41YS01265700.

Where does Maria Koutsoumbis, MS, CCC-SLP practice?

The practice location is 155 Passaic Ave, Fairfield, NJ 07004-3561. 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 1154162659 directly on the NPPES registry website.

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