Provider Demographics
NPI:1043502628
Name:TARTER, ESTHER
Entity Type:Individual
Prefix:
First Name:ESTHER
Middle Name:
Last Name:TARTER
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:ESTHER
Other - Middle Name:
Other - Last Name:FREUNDLICH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MACCCSLP
Mailing Address - Street 1:2 TRUMAN AVE
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08701-5662
Mailing Address - Country:US
Mailing Address - Phone:845-608-6572
Mailing Address - Fax:732-370-1973
Practice Address - Street 1:2 TRUMAN AVE
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:08701-5662
Practice Address - Country:US
Practice Address - Phone:845-608-6572
Practice Address - Fax:732-370-1973
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-13
Last Update Date:2015-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY020733-1235Z00000X
NJ41YS00671200235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist