Active NPIIndividual providerSole proprietor

Shontaye Glover, CCC-SLP

Speech-Language Pathologist, in Cliffside Park, New Jersey

NPI Number1194184325
Practice location
289 Gorge RD Unit 274, Cliffside Park, NJ 07010-8011
Fax
—
Last updated
February 16, 2016

Shontaye Glover is a Speech-Language Pathologist, based in Cliffside Park, NJ. Shontaye Glover practices in Cliffside Park, NJ and has the professional credentials of CCC-SLP. The NPI Number for Shontaye Glover is 1194184325 and holds a License No. 41YS00448300 (NJ). The current practice location address for Shontaye Glover is 289 Gorge RD Unit 274, Cliffside Park, NJ 07010-8011 and can be reached out via phone at 551-358-0381.

Provider Profile Details

NPI Number
1194184325
Provider Name
Shontaye Glover
Credential
CCC-SLP
Provider Entity Type
Individual
Gender
Female
Address
289 Gorge RD Unit 274, Cliffside Park, NJ 07010-8011
Phone Number
551-358-0381
Primary Taxonomy
Speech-Language Pathologist, · 235Z00000X
Sole Proprietor
Yes
Provider Enumeration Date
February 16, 2016
Last Update Date
February 16, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
289 Gorge RD Unit 274
Cliffside Park, NJ 07010-8011
Zip
07010-8011
Phone Number
551-358-0381
Cliffside Park, NJ 07010Get directions →

Provider Business Mailing Address Details

Address
Po Box 274
Cliffside Park, NJ 07010-0274
City
Cliffside Park
State
NJ
Zip
07010-0274
Phone Number
551-358-0381

License Information

License Number
41YS00448300
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 Shontaye Glover, CCC-SLP?

The NPI number of Shontaye Glover, CCC-SLP is 1194184325. It was assigned on February 16, 2016 and is currently active in the NPPES registry.

What is the specialty of Shontaye Glover, CCC-SLP?

Shontaye Glover, CCC-SLP is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X), licensed in NJ under license number 41YS00448300.

Where does Shontaye Glover, CCC-SLP practice?

The practice location is 289 Gorge RD Unit 274, Cliffside Park, NJ 07010-8011. The office can be reached at 551-358-0381 (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 1194184325 directly on the NPPES registry website.

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