Provider Demographics
NPI:1518307776
Name:HUBER, EVA
Entity Type:Individual
Prefix:
First Name:EVA
Middle Name:
Last Name:HUBER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 COTTAGE GATE
Mailing Address - Street 2:
Mailing Address - City:ATLANTIC HIGHLANDS
Mailing Address - State:NJ
Mailing Address - Zip Code:07716-4002
Mailing Address - Country:US
Mailing Address - Phone:732-737-7790
Mailing Address - Fax:732-291-1578
Practice Address - Street 1:1 COTTAGE GATE
Practice Address - Street 2:
Practice Address - City:ATLANTIC HIGHLANDS
Practice Address - State:NJ
Practice Address - Zip Code:07716-4002
Practice Address - Country:US
Practice Address - Phone:732-737-7790
Practice Address - Fax:732-291-1578
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-02
Last Update Date:2022-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ41YS00152400235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist