Provider Demographics
NPI:1407375173
Name:SLEPOY, SHOSHANA SARAH (MS)
Entity Type:Individual
Prefix:MRS
First Name:SHOSHANA
Middle Name:SARAH
Last Name:SLEPOY
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:69 PATRICIA PL
Mailing Address - Street 2:
Mailing Address - City:CLIFTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07012-1849
Mailing Address - Country:US
Mailing Address - Phone:201-844-3197
Mailing Address - Fax:
Practice Address - Street 1:69 PATRICIA PL
Practice Address - Street 2:
Practice Address - City:CLIFTON
Practice Address - State:NJ
Practice Address - Zip Code:07012-1849
Practice Address - Country:US
Practice Address - Phone:201-844-3197
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-09-14
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty