Jeong Eun Kim, MA CCC-SLP
Speech-Language Pathologist, in Park Ridge, New Jersey
1235824624- Practice location
- 70 Hawthorne Ave, Park Ridge, NJ 07656-1221
- Phone
- 509-590-9979
- Fax
- —
- Last updated
- April 10, 2023
Jeong Eun Kim is a Speech-Language Pathologist, based in Park Ridge, NJ. Jeong Eun Kim practices in Park Ridge, NJ and has the professional credentials of MA CCC-SLP. The NPI Number for Jeong Eun Kim is 1235824624 and holds a License No. 41YS01069500 (NJ). The current practice location address for Jeong Eun Kim is 70 Hawthorne Ave, Park Ridge, NJ 07656-1221 and can be reached out via phone at 509-590-9979.
Provider Profile Details
- NPI Number
- 1235824624
- Provider Name
- Jeong Eun Kim
- Credential
- MA CCC-SLP
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 70 Hawthorne Ave, Park Ridge, NJ 07656-1221
- Phone Number
- 509-590-9979
- Primary Taxonomy
- Speech-Language Pathologist, · 235Z00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- April 10, 2023
- Last Update Date
- April 10, 2023
- Certification Date
- April 10, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 70 Hawthorne Ave
Park Ridge, NJ 07656-1221 - City
- Park Ridge
- State
- New Jersey
- Zip
- 07656-1221
- Phone Number
- 509-590-9979
Provider Business Mailing Address Details
- Address
- 70 Hawthorne Ave
Park Ridge, NJ 07656-1221 - City
- Park Ridge
- State
- NJ
- Zip
- 07656-1221
- Phone Number
- 509-590-9979
License Information
- License Number
- 41YS01069500
- License State
- NJ
- Taxonomy
- Speech-Language Pathologist, · 235Z00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Speech-Language Pathologist, providers near Park Ridge, NJ
View all Speech-Language Pathologist, providers in Park Ridge →- Amanda Soran, MS, CCC-SLPSpeech-Language Pathologist, · NPI 1467078782
- Hayley R SorannoSpeech-Language Pathologist, · NPI 1356224281
- Jennifer AllenSpeech-Language Pathologist, · NPI 1578977427
- Josephine P Puncar, MA, CCC-SLPSpeech-Language Pathologist, · NPI 1962178210
- Miss Elizabeth Hohnecker, CCC-SLPSpeech-Language Pathologist, · NPI 1316426976
- Mrs. Andrea L LincolnSpeech-Language Pathologist, · NPI 1982539862
Frequently Asked Questions
What is the NPI number of Jeong Eun Kim, MA CCC-SLP?
The NPI number of Jeong Eun Kim, MA CCC-SLP is 1235824624. It was assigned on April 10, 2023 and is currently active in the NPPES registry.
What is the specialty of Jeong Eun Kim, MA CCC-SLP?
Jeong Eun Kim, MA CCC-SLP is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X), licensed in NJ under license number 41YS01069500.
Where does Jeong Eun Kim, MA CCC-SLP practice?
The practice location is 70 Hawthorne Ave, Park Ridge, NJ 07656-1221. The office can be reached at 509-590-9979 (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 1235824624 directly on the NPPES registry website.