Provider Demographics
NPI:1477002285
Name:HYLAND, ELISABETH (AUD, CCC-A)
Entity Type:Individual
Prefix:DR
First Name:ELISABETH
Middle Name:
Last Name:HYLAND
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 1:40 STIRLING RD STE 206B
Mailing Address - Street 2:
Mailing Address - City:WATCHUNG
Mailing Address - State:NJ
Mailing Address - Zip Code:07069-5900
Mailing Address - Country:US
Mailing Address - Phone:908-756-5227
Mailing Address - Fax:908-756-5261
Practice Address - Street 1:40 STIRLING RD STE 206B
Practice Address - Street 2:
Practice Address - City:WATCHUNG
Practice Address - State:NJ
Practice Address - Zip Code:07069-5900
Practice Address - Country:US
Practice Address - Phone:908-756-5227
Practice Address - Fax:908-756-5261
Is Sole Proprietor?:No
Enumeration Date:2016-09-22
Last Update Date:2023-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ41YA00124500231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist