Provider Demographics
NPI:1063849867
Name:THERASTART LLC
Entity Type:Organization
Organization Name:THERASTART LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH LANGUAGE PATHOLOGIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:MEITAL
Authorized Official - Middle Name:
Authorized Official - Last Name:FARKASH
Authorized Official - Suffix:
Authorized Official - Credentials:CCC-SLP
Authorized Official - Phone:646-667-8455
Mailing Address - Street 1:827 RARITAN RD
Mailing Address - Street 2:
Mailing Address - City:SCOTCH PLAINS
Mailing Address - State:NJ
Mailing Address - Zip Code:07076-2719
Mailing Address - Country:US
Mailing Address - Phone:646-667-8455
Mailing Address - Fax:908-561-5737
Practice Address - Street 1:827 RARITAN RD
Practice Address - Street 2:
Practice Address - City:SCOTCH PLAINS
Practice Address - State:NJ
Practice Address - Zip Code:07076-2719
Practice Address - Country:US
Practice Address - Phone:646-667-8455
Practice Address - Fax:908-561-5737
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-11
Last Update Date:2021-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ41YS00674400235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty