Provider Demographics
NPI:1336299114
Name:BELL, FAITH ELISE (MS, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:FAITH
Middle Name:ELISE
Last Name:BELL
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:626 TEANECK RD
Mailing Address - Street 2:
Mailing Address - City:TEANECK
Mailing Address - State:NJ
Mailing Address - Zip Code:07666-4247
Mailing Address - Country:US
Mailing Address - Phone:201-287-0767
Mailing Address - Fax:
Practice Address - Street 1:309 BLACK OAK RIDGE RD
Practice Address - Street 2:
Practice Address - City:WAYNE
Practice Address - State:NJ
Practice Address - Zip Code:07470-6504
Practice Address - Country:US
Practice Address - Phone:973-692-9072
Practice Address - Fax:973-692-9071
Is Sole Proprietor?:No
Enumeration Date:2007-01-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ41Y500455000235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ41Y500455000OtherLIC. - SPEECH AND LANG
NJ12027151OtherASHA CERTIFICATION