Mrs. Olivia R Pruiksma, MS, CCC-SLP
Speech-Language Pathologist, in Neptune, New Jersey
1558856294- Practice location
- 521 Glenmere Ave, Neptune, NJ 07753-5610
- Phone
- 732-239-0881
- Fax
- —
- Last updated
- January 25, 2022
Olivia Rose Pruiksma is a Speech-Language Pathologist, based in Neptune, NJ. Olivia Rose Pruiksma practices in Neptune, NJ and has the professional credentials of MS, CCC-SLP. The NPI Number for Olivia Rose Pruiksma is 1558856294 and holds a License No. 41YS00928300 (NJ). The current practice location address for Olivia Rose Pruiksma is 521 Glenmere Ave, Neptune, NJ 07753-5610 and can be reached out via phone at 732-239-0881.
Provider Profile Details
- NPI Number
- 1558856294
- Provider Name
- Olivia Rose Pruiksma
- Credential
- MS, CCC-SLP
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 521 Glenmere Ave, Neptune, NJ 07753-5610
- Phone Number
- 732-239-0881
- Primary Taxonomy
- Speech-Language Pathologist, · 235Z00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- June 26, 2018
- Last Update Date
- January 25, 2022
- Certification Date
- January 25, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 521 Glenmere Ave
Neptune, NJ 07753-5610 - City
- Neptune
- State
- New Jersey
- Zip
- 07753-5610
- Phone Number
- 732-239-0881
Provider Business Mailing Address Details
- Address
- 15 Mohawk Ln
Manalapan, NJ 07726-4613 - City
- Manalapan
- State
- NJ
- Zip
- 07726-4613
- Phone Number
- 732-239-0881
License Information
- License Number
- 41YS00928300
- 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 Neptune, NJ
View all Speech-Language Pathologist, providers in Neptune →Frequently Asked Questions
What is the NPI number of Mrs. Olivia R Pruiksma, MS, CCC-SLP?
The NPI number of Mrs. Olivia R Pruiksma, MS, CCC-SLP is 1558856294. It was assigned on June 26, 2018 and is currently active in the NPPES registry.
What is the specialty of Mrs. Olivia R Pruiksma, MS, CCC-SLP?
Mrs. Olivia R Pruiksma, MS, CCC-SLP is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X), licensed in NJ under license number 41YS00928300.
Where does Mrs. Olivia R Pruiksma, MS, CCC-SLP practice?
The practice location is 521 Glenmere Ave, Neptune, NJ 07753-5610. The office can be reached at 732-239-0881 (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 1558856294 directly on the NPPES registry website.