Active NPIIndividual providerSole proprietor

Shannon Pravetz

Speech-Language Pathologist, in Hamburg, New Jersey

NPI Number1588914683
Practice location
228 Wheatsworth RD, Hamburg, NJ 07419-2620
Fax
973-827-8421
Last updated
September 16, 2012

Shannon Pravetz is a Speech-Language Pathologist, based in Hamburg, NJ. Shannon Pravetz practices in Hamburg, NJ. The NPI Number for Shannon Pravetz is 1588914683 and holds a License No. 0135191 (NY). The current practice location address for Shannon Pravetz is 228 Wheatsworth RD, Hamburg, NJ 07419-2620 and can be reached out via phone at 845-325-0124 and via fax at 973-827-8421.

Provider Profile Details

NPI Number
1588914683
Provider Name
Shannon Pravetz
Provider Entity Type
Individual
Gender
Female
Address
228 Wheatsworth RD, Hamburg, NJ 07419-2620
Phone Number
845-325-0124
Fax Number
973-827-8421
Primary Taxonomy
Speech-Language Pathologist, · 235Z00000X
Sole Proprietor
Yes
Provider Enumeration Date
September 16, 2012
Last Update Date
September 16, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
228 Wheatsworth RD
Hamburg, NJ 07419-2620
Zip
07419-2620
Phone Number
845-325-0124
Fax Number
973-827-8421
Hamburg, NJ 07419Get directions →

Provider Business Mailing Address Details

Address
228 Wheatsworth RD
Hamburg, NJ 07419-2620
City
Hamburg
State
NJ
Zip
07419-2620

License Information

License Number (1)
0135191
License State (1)
NY
Taxonomy (1)
Speech-Language Pathologist, · 235Z00000X · Primary
License Number (2)
41YS00459700
License State (2)
NJ
Taxonomy (2)
Speech-Language Pathologist, · 235Z00000X

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 Shannon Pravetz?

The NPI number of Shannon Pravetz is 1588914683. It was assigned on September 16, 2012 and is currently active in the NPPES registry.

What is the specialty of Shannon Pravetz?

Shannon Pravetz is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X), licensed in NY under license number 0135191.

Where does Shannon Pravetz practice?

The practice location is 228 Wheatsworth RD, Hamburg, NJ 07419-2620. The office can be reached at 845-325-0124 (phone) or 973-827-8421 (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 1588914683 directly on the NPPES registry website.

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