South Jersey Speech Language Pathology
Clinic/Center, Hearing and Speech in Collingswood, New Jersey
1427566082- Practice location
- 1118 Park Ave, Collingswood, NJ 08108-3317
- Phone
- 646-234-3756
- Fax
- 856-210-7488
- Last updated
- June 16, 2018
South Jersey Speech Language Pathology is a healthcare organization based in Collingswood, NJ. South Jersey Speech Language Pathology practices in Collingswood, NJ. The NPI Number for South Jersey Speech Language Pathology is 1427566082 and holds a License No. 41YS00849400 (NJ). The current practice location address for South Jersey Speech Language Pathology is 1118 Park Ave, Collingswood, NJ 08108-3317 and can be reached out via phone at 646-234-3756 and via fax at 856-210-7488.
Provider Profile Details
- NPI Number
- 1427566082
- Provider Name
- South Jersey Speech Language Pathology
- Provider Entity Type
- Organization
- Address
- 1118 Park Ave, Collingswood, NJ 08108-3317
- Phone Number
- 646-234-3756
- Fax Number
- 856-210-7488
- Primary Taxonomy
- Clinic/Center, Hearing and Speech · 261QH0700X
- Organization Subpart
- No
- Authorized Official
- Mrs. Maribel Willson, MS, CCC-SLP · Owner · 646-234-3756
- Other Names
- Sjslp (Doing Business As)
- Provider Enumeration Date
- January 17, 2018
- Last Update Date
- June 16, 2018
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1118 Park Ave
Collingswood, NJ 08108-3317 - City
- Collingswood
- State
- New Jersey
- Zip
- 08108-3317
- Phone Number
- 646-234-3756
- Fax Number
- 856-210-7488
Provider Business Mailing Address Details
- Address
- 1118 Park Ave
Collingswood, NJ 08108-3317 - City
- Collingswood
- State
- NJ
- Zip
- 08108-3317
- Phone Number
- 646-234-3756
- Fax Number
- 856-210-7488
License Information
- License Number
- 41YS00849400
- License State
- NJ
- Taxonomy
- Clinic/Center, Hearing and Speech · 261QH0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 South Jersey Speech Language Pathology?
The NPI number of South Jersey Speech Language Pathology is 1427566082. It was assigned on January 17, 2018 and is currently active in the NPPES registry.
What is the specialty of South Jersey Speech Language Pathology?
South Jersey Speech Language Pathology is registered under the primary taxonomy Clinic/Center, Hearing and Speech (code 261QH0700X), licensed in NJ under license number 41YS00849400.
Where does South Jersey Speech Language Pathology practice?
The practice location is 1118 Park Ave, Collingswood, NJ 08108-3317. The office can be reached at 646-234-3756 (phone) or 856-210-7488 (fax).
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 1427566082 directly on the NPPES registry website.