Active NPIIndividual providerSole proprietor

Yichien W Su, MS CCC-SLP

Speech-Language Pathologist, in Mt Arlington, New Jersey

NPI Number1568617520
Practice location
111 Howard Blvd Ste 205, Mt Arlington, NJ 07856-1315
Fax
—
Last updated
November 30, 2016

Yichien Wang Su is a Speech-Language Pathologist, based in Mt Arlington, NJ. Yichien Wang Su practices in Mt Arlington, NJ and has the professional credentials of MS CCC-SLP. The NPI Number for Yichien Wang Su is 1568617520 and holds a License No. 41YS00476300 (NJ). The current practice location address for Yichien Wang Su is 111 Howard Blvd Ste 205, Mt Arlington, NJ 07856-1315 and can be reached out via phone at 973-609-0100.

Provider Profile Details

NPI Number
1568617520
Provider Name
Yichien Wang Su
Credential
MS CCC-SLP
Provider Entity Type
Individual
Gender
Female
Address
111 Howard Blvd Ste 205, Mt Arlington, NJ 07856-1315
Phone Number
973-609-0100
Primary Taxonomy
Speech-Language Pathologist, · 235Z00000X
Sole Proprietor
Yes
Provider Enumeration Date
November 18, 2008
Last Update Date
November 30, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
111 Howard Blvd Ste 205
Mt Arlington, NJ 07856-1315
Zip
07856-1315
Phone Number
973-609-0100
Mt Arlington, NJ 07856Get directions →

Provider Business Mailing Address Details

Address
39 Kensington RD
Madison, NJ 07940-2318
City
Madison
State
NJ
Zip
07940-2318
Phone Number
646-209-2271

License Information

License Number
41YS00476300
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 Yichien W Su, MS CCC-SLP?

The NPI number of Yichien W Su, MS CCC-SLP is 1568617520. It was assigned on November 18, 2008 and is currently active in the NPPES registry.

What is the specialty of Yichien W Su, MS CCC-SLP?

Yichien W Su, MS CCC-SLP is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X), licensed in NJ under license number 41YS00476300.

Where does Yichien W Su, MS CCC-SLP practice?

The practice location is 111 Howard Blvd Ste 205, Mt Arlington, NJ 07856-1315. The office can be reached at 973-609-0100 (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 1568617520 directly on the NPPES registry website.

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