Provider Demographics
NPI:1083151088
Name:ESTRADA-ROJAS, KARLA (MA, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:KARLA
Middle Name:
Last Name:ESTRADA-ROJAS
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:289 RICHARD ST
Mailing Address - Street 2:
Mailing Address - City:BELFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:07718-1312
Mailing Address - Country:US
Mailing Address - Phone:908-591-6276
Mailing Address - Fax:
Practice Address - Street 1:289 RICHARD ST
Practice Address - Street 2:
Practice Address - City:BELFORD
Practice Address - State:NJ
Practice Address - Zip Code:07718-1312
Practice Address - Country:US
Practice Address - Phone:908-591-6276
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-27
Last Update Date:2022-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ41YS00864200235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist