Provider Demographics
NPI:1073268983
Name:NEUROREHAB & SPEECH HEALERS, LLC
Entity Type:Organization
Organization Name:NEUROREHAB & SPEECH HEALERS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:KEVLIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-580-8219
Mailing Address - Street 1:65 PATE DR
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07748-1749
Mailing Address - Country:US
Mailing Address - Phone:732-580-9929
Mailing Address - Fax:732-671-0959
Practice Address - Street 1:10 ROUTE 35
Practice Address - Street 2:
Practice Address - City:RED BANK
Practice Address - State:NJ
Practice Address - Zip Code:07701-5902
Practice Address - Country:US
Practice Address - Phone:732-743-8383
Practice Address - Fax:732-671-0959
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-18
Last Update Date:2023-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty