Active NPIIndividual providerSole proprietor

Susan M Damin, MA, CCC

Speech-Language Pathologist, in Fort Lee, New Jersey

NPI Number1811510118
Practice location
100 Old Palisade RD Apt 3406, Fort Lee, NJ 07024-7026
Fax
—
Last updated
May 20, 2020

Susan M Damin is a Speech-Language Pathologist, based in Fort Lee, NJ. Susan M Damin practices in Fort Lee, NJ and has the professional credentials of MA, CCC. The NPI Number for Susan M Damin is 1811510118 and holds a License No. 41YS00024900 (NJ). The current practice location address for Susan M Damin is 100 Old Palisade RD Apt 3406, Fort Lee, NJ 07024-7026 and can be reached out via phone at 201-725-9673.

Provider Profile Details

NPI Number
1811510118
Provider Name
Susan M Damin
Credential
MA, CCC
Provider Entity Type
Individual
Gender
Female
Address
100 Old Palisade RD Apt 3406, Fort Lee, NJ 07024-7026
Phone Number
201-725-9673
Primary Taxonomy
Speech-Language Pathologist, · 235Z00000X
Sole Proprietor
Yes
Provider Enumeration Date
May 20, 2020
Last Update Date
May 20, 2020
Certification Date
May 20, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
100 Old Palisade RD Apt 3406
Fort Lee, NJ 07024-7026
Zip
07024-7026
Phone Number
201-725-9673
Fort Lee, NJ 07024Get directions →

Provider Business Mailing Address Details

Address
100 Old Palisade RD Apt 3406
Fort Lee, NJ 07024-7026
City
Fort Lee
State
NJ
Zip
07024-7026
Phone Number
201-725-9673

License Information

License Number
41YS00024900
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 Susan M Damin, MA, CCC?

The NPI number of Susan M Damin, MA, CCC is 1811510118. It was assigned on May 20, 2020 and is currently active in the NPPES registry.

What is the specialty of Susan M Damin, MA, CCC?

Susan M Damin, MA, CCC is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X), licensed in NJ under license number 41YS00024900.

Where does Susan M Damin, MA, CCC practice?

The practice location is 100 Old Palisade RD Apt 3406, Fort Lee, NJ 07024-7026. The office can be reached at 201-725-9673 (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 1811510118 directly on the NPPES registry website.

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