Provider Demographics
NPI:1114240447
Name:LAKEWOOD SPEECH SOLUTIONS, LLC
Entity Type:Organization
Organization Name:LAKEWOOD SPEECH SOLUTIONS, LLC
Other - Org Name:SPEECH SOLUTIONS, LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ISRAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:GARFUNKEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-814-1097
Mailing Address - Street 1:735 NOWLAN PL
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08701-2024
Mailing Address - Country:US
Mailing Address - Phone:732-961-1097
Mailing Address - Fax:
Practice Address - Street 1:735 NOWLAN PL
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:08701-2024
Practice Address - Country:US
Practice Address - Phone:732-363-1717
Practice Address - Fax:732-363-5707
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-01
Last Update Date:2021-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty