Provider Demographics
NPI:1275127284
Name:THE NEW JERSEY INSTITUTE OF SPEECH AND LANGUAGE PATHOLOGY
Entity Type:Organization
Organization Name:THE NEW JERSEY INSTITUTE OF SPEECH AND LANGUAGE PATHOLOGY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH AND LANGUAGE PATHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:MEGAN
Authorized Official - Middle Name:
Authorized Official - Last Name:BRANAGH
Authorized Official - Suffix:
Authorized Official - Credentials:MS CCC-SLP
Authorized Official - Phone:083-557-7742
Mailing Address - Street 1:117 BEVERLY RD
Mailing Address - Street 2:
Mailing Address - City:HAWTHORNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07506-3237
Mailing Address - Country:US
Mailing Address - Phone:973-557-7742
Mailing Address - Fax:
Practice Address - Street 1:117 BEVERLY RD
Practice Address - Street 2:
Practice Address - City:HAWTHORNE
Practice Address - State:NJ
Practice Address - Zip Code:07506-3237
Practice Address - Country:US
Practice Address - Phone:973-557-7742
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-22
Last Update Date:2021-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty