Provider Demographics
NPI:1083117204
Name:HAJALUGA, ELIF
Entity Type:Individual
Prefix:
First Name:ELIF
Middle Name:
Last Name:HAJALUGA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 WANAQUE AVE STE 302B
Mailing Address - Street 2:
Mailing Address - City:POMPTON LAKES
Mailing Address - State:NJ
Mailing Address - Zip Code:07442-2130
Mailing Address - Country:US
Mailing Address - Phone:862-703-9868
Mailing Address - Fax:
Practice Address - Street 1:200 WANAQUE AVE STE 302B
Practice Address - Street 2:
Practice Address - City:POMPTON LAKES
Practice Address - State:NJ
Practice Address - Zip Code:07442-2130
Practice Address - Country:US
Practice Address - Phone:862-703-9868
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-14
Last Update Date:2022-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ41YS00717800235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist