Provider Demographics
NPI:1174852511
Name:MEHLER, ESTHER (MA CCC/SLP)
Entity Type:Individual
Prefix:MS
First Name:ESTHER
Middle Name:
Last Name:MEHLER
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 1:411 OGDEN AVE
Mailing Address - Street 2:
Mailing Address - City:TEANECK
Mailing Address - State:NJ
Mailing Address - Zip Code:07666-2819
Mailing Address - Country:US
Mailing Address - Phone:201-741-5437
Mailing Address - Fax:
Practice Address - Street 1:411 OGDEN AVE
Practice Address - Street 2:
Practice Address - City:TEANECK
Practice Address - State:NJ
Practice Address - Zip Code:07666-2819
Practice Address - Country:US
Practice Address - Phone:201-741-5437
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-14
Last Update Date:2017-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY005327235Z00000X
NJ41YS00248100235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist