Provider Demographics
NPI:1326595448
Name:RAHEJA, ISHITA (AUD, CCC-A)
Entity Type:Individual
Prefix:MRS
First Name:ISHITA
Middle Name:
Last Name:RAHEJA
Suffix:
Gender:F
Credentials:AUD, CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:376 NORTH AVE
Mailing Address - Street 2:
Mailing Address - City:DUNELLEN
Mailing Address - State:NJ
Mailing Address - Zip Code:08812-1296
Mailing Address - Country:US
Mailing Address - Phone:732-424-0445
Mailing Address - Fax:
Practice Address - Street 1:376 NORTH AVE
Practice Address - Street 2:
Practice Address - City:DUNELLEN
Practice Address - State:NJ
Practice Address - Zip Code:08812-1296
Practice Address - Country:US
Practice Address - Phone:732-424-0445
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-09-07
Last Update Date:2016-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ41YA00094500231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist