Provider Demographics
NPI:1033446885
Name:HAMBURG SPEECH ASSOCIATES
Entity Type:Organization
Organization Name:HAMBURG SPEECH ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:JUDITH
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:GOBAIRA
Authorized Official - Suffix:
Authorized Official - Credentials:MS CCC/SLP
Authorized Official - Phone:973-492-3100
Mailing Address - Street 1:45 CAREY AVE
Mailing Address - Street 2:SUITE 109
Mailing Address - City:BUTLER
Mailing Address - State:NJ
Mailing Address - Zip Code:07405-1443
Mailing Address - Country:US
Mailing Address - Phone:973-492-3100
Mailing Address - Fax:973-492-0040
Practice Address - Street 1:45 CAREY AVE
Practice Address - Street 2:SUITE 109
Practice Address - City:BUTLER
Practice Address - State:NJ
Practice Address - Zip Code:07405-1443
Practice Address - Country:US
Practice Address - Phone:973-492-3100
Practice Address - Fax:973-492-0040
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-14
Last Update Date:2009-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ41YS00200900235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty