Active NPIIndividual provider

Janice Dittelman, MASTER OF SCIENCE

Speech-Language Pathologist, in Bloomfield, New Jersey

NPI Number1700384823
Practice location
1515 Broad St, Bloomfield, NJ 07003-3002
Fax
—
Last updated
January 23, 2018

Janice Dittelman is a Speech-Language Pathologist, based in Bloomfield, NJ. Janice Dittelman practices in Bloomfield, NJ and has the professional credentials of MASTER OF SCIENCE. The NPI Number for Janice Dittelman is 1700384823 and holds a License No. 41YS00403600 (NJ). The current practice location address for Janice Dittelman is 1515 Broad St, Bloomfield, NJ 07003-3002 and can be reached out via phone at 973-655-7752.

Provider Profile Details

NPI Number
1700384823
Provider Name
Janice Dittelman
Credential
MASTER OF SCIENCE
Provider Entity Type
Individual
Gender
Female
Address
1515 Broad St, Bloomfield, NJ 07003-3002
Phone Number
973-655-7752
Primary Taxonomy
Speech-Language Pathologist, · 235Z00000X
Sole Proprietor
No
Provider Enumeration Date
January 23, 2018
Last Update Date
January 23, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
1515 Broad St
Bloomfield, NJ 07003-3002
Zip
07003-3002
Phone Number
973-655-7752
Bloomfield, NJ 07003Get directions →

Provider Business Mailing Address Details

Address
440 Victor Way
Wyckoff, NJ 07481-1807
City
Wyckoff
State
NJ
Zip
07481-1807
Phone Number
201-560-1235

License Information

License Number
41YS00403600
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 Janice Dittelman, MASTER OF SCIENCE?

The NPI number of Janice Dittelman, MASTER OF SCIENCE is 1700384823. It was assigned on January 23, 2018 and is currently active in the NPPES registry.

What is the specialty of Janice Dittelman, MASTER OF SCIENCE?

Janice Dittelman, MASTER OF SCIENCE is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X), licensed in NJ under license number 41YS00403600.

Where does Janice Dittelman, MASTER OF SCIENCE practice?

The practice location is 1515 Broad St, Bloomfield, NJ 07003-3002. The office can be reached at 973-655-7752 (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 1700384823 directly on the NPPES registry website.

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