Provider Demographics
NPI:1275602336
Name:TEAMHOPE, P.C.
Entity Type:Organization
Organization Name:TEAMHOPE, P.C.
Other - Org Name:TEAMHOPE SPEECH AND PEDIATRIC THERAPY CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:HOPE
Authorized Official - Middle Name:IRENE
Authorized Official - Last Name:FERNICOLA
Authorized Official - Suffix:
Authorized Official - Credentials:MA CCC SLP
Authorized Official - Phone:908-766-1717
Mailing Address - Street 1:115 MORRISTOWN RD
Mailing Address - Street 2:ROUTE 202
Mailing Address - City:BERNARDSVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:07924-2328
Mailing Address - Country:US
Mailing Address - Phone:908-766-1717
Mailing Address - Fax:
Practice Address - Street 1:115 MORRISTOWN RD
Practice Address - Street 2:ROUTE 202
Practice Address - City:BERNARDSVILLE
Practice Address - State:NJ
Practice Address - Zip Code:07924-2328
Practice Address - Country:US
Practice Address - Phone:908-766-1717
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-06
Last Update Date:2009-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ41YS00402200235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty