Active NPIIndividual provider

Ms. Casey L Bevacqua, MA, CCC-SLP

Speech-Language Pathologist, in Weehawken, New Jersey

NPI Number1164192712
Practice location
1826 Willow Ave Apt 201, Weehawken, NJ 07086-6623
Fax
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Last updated
January 5, 2025

Casey Lynn Bevacqua is a Speech-Language Pathologist, based in Weehawken, NJ. Casey Lynn Bevacqua practices in Weehawken, NJ and has the professional credentials of MA, CCC-SLP. The NPI Number for Casey Lynn Bevacqua is 1164192712 and holds a License No. 41YS01096900 (NJ). The current practice location address for Casey Lynn Bevacqua is 1826 Willow Ave Apt 201, Weehawken, NJ 07086-6623 and can be reached out via phone at 201-373-6355.

Provider Profile Details

NPI Number
1164192712
Provider Name
Casey Lynn Bevacqua
Credential
MA, CCC-SLP
Provider Entity Type
Individual
Gender
Female
Address
1826 Willow Ave Apt 201, Weehawken, NJ 07086-6623
Phone Number
201-373-6355
Primary Taxonomy
Speech-Language Pathologist, · 235Z00000X
Sole Proprietor
No
Provider Enumeration Date
September 15, 2021
Last Update Date
January 5, 2025
Certification Date
January 5, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
1826 Willow Ave Apt 201
Weehawken, NJ 07086-6623
Zip
07086-6623
Phone Number
201-373-6355
Weehawken, NJ 07086Get directions →

Provider Business Mailing Address Details

Address
1826 Willow Ave Apt 201
Weehawken, NJ 07086-6623
City
Weehawken
State
NJ
Zip
07086-6623
Phone Number
201-373-6355

License Information

License Number
41YS01096900
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. Casey L Bevacqua, MA, CCC-SLP?

The NPI number of Ms. Casey L Bevacqua, MA, CCC-SLP is 1164192712. It was assigned on September 15, 2021 and is currently active in the NPPES registry.

What is the specialty of Ms. Casey L Bevacqua, MA, CCC-SLP?

Ms. Casey L Bevacqua, MA, CCC-SLP is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X), licensed in NJ under license number 41YS01096900.

Where does Ms. Casey L Bevacqua, MA, CCC-SLP practice?

The practice location is 1826 Willow Ave Apt 201, Weehawken, NJ 07086-6623. The office can be reached at 201-373-6355 (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 1164192712 directly on the NPPES registry website.

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