Active NPIIndividual providerSole proprietor

Dr. Patrick R Walden, PHD

Speech-Language Pathologist, in West Long Branch, New Jersey

NPI Number1770952780
Practice location
400 Cedar Ave, West Long Branch, NJ 07764-1898
Fax
—
Last updated
June 28, 2024

Patrick Roy Walden is a Speech-Language Pathologist, based in West Long Branch, NJ. Patrick Roy Walden practices in West Long Branch, NJ and has the professional credentials of PHD. The NPI Number for Patrick Roy Walden is 1770952780 and holds a License No. 016540 (NY). The current practice location address for Patrick Roy Walden is 400 Cedar Ave, West Long Branch, NJ 07764-1898 and can be reached out via phone at 917-513-6503.

Provider Profile Details

NPI Number
1770952780
Provider Name
Patrick Roy Walden
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
400 Cedar Ave, West Long Branch, NJ 07764-1898
Phone Number
917-513-6503
Primary Taxonomy
Speech-Language Pathologist, · 235Z00000X
Sole Proprietor
Yes
Provider Enumeration Date
September 20, 2015
Last Update Date
June 28, 2024
Certification Date
June 28, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
400 Cedar Ave
West Long Branch, NJ 07764-1898
Zip
07764-1898
Phone Number
917-513-6503
West Long Branch, NJ 07764Get directions →

Provider Business Mailing Address Details

Address
20 Shoreland Ter
North Middletown, NJ 07748-6201
City
North Middletown
State
NJ
Zip
07748-6201
Phone Number
917-513-6503

License Information

License Number (1)
016540
License State (1)
NY
Taxonomy (1)
Speech-Language Pathologist, · 235Z00000X
License Number (2)
41YS01131900
License State (2)
NJ
Taxonomy (2)
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 Dr. Patrick R Walden, PHD?

The NPI number of Dr. Patrick R Walden, PHD is 1770952780. It was assigned on September 20, 2015 and is currently active in the NPPES registry.

What is the specialty of Dr. Patrick R Walden, PHD?

Dr. Patrick R Walden, PHD is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X), licensed in NY under license number 016540.

Where does Dr. Patrick R Walden, PHD practice?

The practice location is 400 Cedar Ave, West Long Branch, NJ 07764-1898. The office can be reached at 917-513-6503 (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 1770952780 directly on the NPPES registry website.

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