Provider Demographics
NPI:1366032450
Name:SHARPER SPEECH LLC
Entity Type:Organization
Organization Name:SHARPER SPEECH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KERIANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:SHARPE
Authorized Official - Suffix:
Authorized Official - Credentials:MS CCC-SLP
Authorized Official - Phone:973-998-1766
Mailing Address - Street 1:40 BLOOMFIELD AVE STE 3
Mailing Address - Street 2:
Mailing Address - City:DENVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:07834-5701
Mailing Address - Country:US
Mailing Address - Phone:973-998-1766
Mailing Address - Fax:
Practice Address - Street 1:40 BLOOMFIELD AVE STE 3
Practice Address - Street 2:
Practice Address - City:DENVILLE
Practice Address - State:NJ
Practice Address - Zip Code:07834-5701
Practice Address - Country:US
Practice Address - Phone:973-998-1766
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-22
Last Update Date:2022-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJNJ41YS00923500OtherNJ