Provider Demographics
NPI:1528601168
Name:LAPA, SHARI ANNE
Entity Type:Individual
Prefix:
First Name:SHARI
Middle Name:ANNE
Last Name:LAPA
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 1:9 ELMWOOD DR
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:NJ
Mailing Address - Zip Code:07059-6846
Mailing Address - Country:US
Mailing Address - Phone:732-627-9262
Mailing Address - Fax:732-742-4450
Practice Address - Street 1:9 ELMWOOD DR
Practice Address - Street 2:
Practice Address - City:WARREN
Practice Address - State:NJ
Practice Address - Zip Code:07059-6846
Practice Address - Country:US
Practice Address - Phone:732-627-9262
Practice Address - Fax:732-742-4450
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-27
Last Update Date:2019-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ4YS00186900235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist