Provider Demographics
NPI:1508510827
Name:EGERT, ALLISON (SLP)
Entity Type:Individual
Prefix:DR
First Name:ALLISON
Middle Name:
Last Name:EGERT
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 KNICKERBOCKER RD STE 3600
Mailing Address - Street 2:
Mailing Address - City:CRESSKILL
Mailing Address - State:NJ
Mailing Address - Zip Code:07626-1349
Mailing Address - Country:US
Mailing Address - Phone:201-399-7078
Mailing Address - Fax:
Practice Address - Street 1:300 KNICKERBOCKER RD STE 3600
Practice Address - Street 2:
Practice Address - City:CRESSKILL
Practice Address - State:NJ
Practice Address - Zip Code:07626-1349
Practice Address - Country:US
Practice Address - Phone:201-399-7078
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-06
Last Update Date:2022-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ41YS00108800235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ41YS00108800OtherSPEECH LANGUAGE PATHOLOGIST