Active NPIIndividual provider

Diane Polledri, MA, CCC-SLP

Speech-Language Pathologist, in Bloomfield, New Jersey

NPI Number1316492275
Practice location
1515 Broad St, Msu-Caslp, Bloomfield, NJ 07003-3002
Fax
—
Last updated
January 18, 2017

Diane Polledri is a Speech-Language Pathologist, based in Bloomfield, NJ. Diane Polledri practices in Bloomfield, NJ and has the professional credentials of MA, CCC-SLP. The NPI Number for Diane Polledri is 1316492275 and holds a License No. 41YS00086900 (NJ). The current practice location address for Diane Polledri is 1515 Broad St, Msu-Caslp, Bloomfield, NJ 07003-3002 and can be reached out via phone at 973-655-7946.

Provider Profile Details

NPI Number
1316492275
Provider Name
Diane Polledri
Credential
MA, CCC-SLP
Provider Entity Type
Individual
Gender
Female
Address
1515 Broad St, Msu-Caslp, Bloomfield, NJ 07003-3002
Phone Number
973-655-7946
Primary Taxonomy
Speech-Language Pathologist, · 235Z00000X
Sole Proprietor
No
Provider Enumeration Date
August 22, 2016
Last Update Date
January 18, 2017
NPI Status
Active

Provider Business Practice Location Address Details

Address
1515 Broad St
Msu-Caslp
Bloomfield, NJ 07003-3002
Zip
07003-3002
Phone Number
973-655-7946
Bloomfield, NJ 07003Get directions →

Provider Business Mailing Address Details

Address
19 Mountainview RD
Verona, NJ 07044-2308
City
Verona
State
NJ
Zip
07044-2308
Phone Number
973-571-1585

License Information

License Number
41YS00086900
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 Diane Polledri, MA, CCC-SLP?

The NPI number of Diane Polledri, MA, CCC-SLP is 1316492275. It was assigned on August 22, 2016 and is currently active in the NPPES registry.

What is the specialty of Diane Polledri, MA, CCC-SLP?

Diane Polledri, MA, CCC-SLP is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X), licensed in NJ under license number 41YS00086900.

Where does Diane Polledri, MA, CCC-SLP practice?

The practice location is 1515 Broad St, Msu-Caslp, Bloomfield, NJ 07003-3002. The office can be reached at 973-655-7946 (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 1316492275 directly on the NPPES registry website.

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