Provider Demographics
NPI:1558513572
Name:VILENSKY, JELENA (CCC-SLP, TSHH)
Entity Type:Individual
Prefix:MRS
First Name:JELENA
Middle Name:
Last Name:VILENSKY
Suffix:
Gender:F
Credentials:CCC-SLP, TSHH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 FOX HUNT DR
Mailing Address - Street 2:
Mailing Address - City:MONROE TOWNSHIP
Mailing Address - State:NJ
Mailing Address - Zip Code:08831-3547
Mailing Address - Country:US
Mailing Address - Phone:917-613-2797
Mailing Address - Fax:646-680-0643
Practice Address - Street 1:15 FOX HUNT DR
Practice Address - Street 2:
Practice Address - City:MONROE TOWNSHIP
Practice Address - State:NJ
Practice Address - Zip Code:08831-3547
Practice Address - Country:US
Practice Address - Phone:917-613-2797
Practice Address - Fax:646-680-0643
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-22
Last Update Date:2019-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY013060235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist