Active NPIIndividual providerSole proprietor

Mr. Etan Haziza, MA, CCC-SLP

Speech-Language Pathologist, in Pompton Plains, New Jersey

NPI Number1578925400
Practice location
1 Cedar Crest Dr, Pompton Plains, NJ 07444-2100
Fax
—
Last updated
March 21, 2016

Etan Haziza is a Speech-Language Pathologist, based in Pompton Plains, NJ. Etan Haziza practices in Pompton Plains, NJ and has the professional credentials of MA, CCC-SLP. The NPI Number for Etan Haziza is 1578925400 and holds a License No. 41YS00811500 (NJ). The current practice location address for Etan Haziza is 1 Cedar Crest Dr, Pompton Plains, NJ 07444-2100 and can be reached out via phone at 973-831-1369.

Provider Profile Details

NPI Number
1578925400
Provider Name
Etan Haziza
Credential
MA, CCC-SLP
Provider Entity Type
Individual
Gender
Male
Address
1 Cedar Crest Dr, Pompton Plains, NJ 07444-2100
Phone Number
973-831-1369
Primary Taxonomy
Speech-Language Pathologist, · 235Z00000X
Sole Proprietor
Yes
Provider Enumeration Date
March 21, 2016
Last Update Date
March 21, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
1 Cedar Crest Dr
Pompton Plains, NJ 07444-2100
Zip
07444-2100
Phone Number
973-831-1369
Pompton Plains, NJ 07444Get directions →

Provider Business Mailing Address Details

Address
142 Pompton Ave
Apt. 2
Verona, NJ 07044-2936
City
Verona
State
NJ
Zip
07044-2936
Phone Number
201-452-0671

License Information

License Number
41YS00811500
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.

Other Speech-Language Pathologist, providers near Pompton Plains, NJ

View all Speech-Language Pathologist, providers in Pompton Plains →

Frequently Asked Questions

What is the NPI number of Mr. Etan Haziza, MA, CCC-SLP?

The NPI number of Mr. Etan Haziza, MA, CCC-SLP is 1578925400. It was assigned on March 21, 2016 and is currently active in the NPPES registry.

What is the specialty of Mr. Etan Haziza, MA, CCC-SLP?

Mr. Etan Haziza, MA, CCC-SLP is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X), licensed in NJ under license number 41YS00811500.

Where does Mr. Etan Haziza, MA, CCC-SLP practice?

The practice location is 1 Cedar Crest Dr, Pompton Plains, NJ 07444-2100. The office can be reached at 973-831-1369 (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 1578925400 directly on the NPPES registry website.

Browse related providers