Provider Demographics
NPI:1225258403
Name:CENTER FOR SPEECH AND MOVEMENT
Entity Type:Organization
Organization Name:CENTER FOR SPEECH AND MOVEMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR CENTER FOR SPEECH AND MOVE
Authorized Official - Prefix:
Authorized Official - First Name:RUTH
Authorized Official - Middle Name:
Authorized Official - Last Name:FREUNDLICH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-363-1992
Mailing Address - Street 1:24 DAVIS ROAD
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08701
Mailing Address - Country:US
Mailing Address - Phone:732-363-1992
Mailing Address - Fax:732-370-1973
Practice Address - Street 1:24 DAVIS ROAD
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:08701
Practice Address - Country:US
Practice Address - Phone:732-363-1992
Practice Address - Fax:732-370-1973
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJYS01112235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty