Active NPIIndividual providerSole proprietor

Kaitlyn S Bazerque, MS, CCC-SLP

Speech-Language Pathologist, in Manahawkin, New Jersey

NPI Number1568151595
Practice location
132 Cruise RD, Manahawkin, NJ 08050-1223
Fax
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Last updated
October 11, 2023

Kaitlyn Shay Bazerque is a Speech-Language Pathologist, based in Manahawkin, NJ. Kaitlyn Shay Bazerque practices in Manahawkin, NJ and has the professional credentials of MS, CCC-SLP. The NPI Number for Kaitlyn Shay Bazerque is 1568151595 and holds a License No. 41YS00988300 (NJ). The current practice location address for Kaitlyn Shay Bazerque is 132 Cruise RD, Manahawkin, NJ 08050-1223 and can be reached out via phone at 609-549-2177.

Provider Profile Details

NPI Number
1568151595
Provider Name
Kaitlyn Shay Bazerque
Credential
MS, CCC-SLP
Provider Entity Type
Individual
Gender
Female
Address
132 Cruise RD, Manahawkin, NJ 08050-1223
Phone Number
609-549-2177
Primary Taxonomy
Speech-Language Pathologist, · 235Z00000X
Sole Proprietor
Yes
Provider Enumeration Date
May 4, 2023
Last Update Date
October 11, 2023
Certification Date
October 11, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
132 Cruise RD
Manahawkin, NJ 08050-1223
Zip
08050-1223
Phone Number
609-549-2177
Manahawkin, NJ 08050Get directions →

Provider Business Mailing Address Details

Address
42 Newell Ave
West Creek, NJ 08092-9608
City
West Creek
State
NJ
Zip
08092-9608
Phone Number
609-661-0745

License Information

License Number
41YS00988300
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 Kaitlyn S Bazerque, MS, CCC-SLP?

The NPI number of Kaitlyn S Bazerque, MS, CCC-SLP is 1568151595. It was assigned on May 4, 2023 and is currently active in the NPPES registry.

What is the specialty of Kaitlyn S Bazerque, MS, CCC-SLP?

Kaitlyn S Bazerque, MS, CCC-SLP is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X), licensed in NJ under license number 41YS00988300.

Where does Kaitlyn S Bazerque, MS, CCC-SLP practice?

The practice location is 132 Cruise RD, Manahawkin, NJ 08050-1223. The office can be reached at 609-549-2177 (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 1568151595 directly on the NPPES registry website.

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