Provider Demographics
NPI:1568637809
Name:FLEMING-STEIN, SANDRA (CCC-SLP)
Entity Type:Individual
Prefix:
First Name:SANDRA
Middle Name:
Last Name:FLEMING-STEIN
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 ROUTE 130 N
Mailing Address - Street 2:SUITE 103
Mailing Address - City:CINNAMINSON
Mailing Address - State:NJ
Mailing Address - Zip Code:08077-3365
Mailing Address - Country:US
Mailing Address - Phone:856-829-3800
Mailing Address - Fax:856-829-3822
Practice Address - Street 1:700 ROUTE 130 N
Practice Address - Street 2:SUITE 103
Practice Address - City:CINNAMINSON
Practice Address - State:NJ
Practice Address - Zip Code:08077-3365
Practice Address - Country:US
Practice Address - Phone:856-829-3800
Practice Address - Fax:856-829-3822
Is Sole Proprietor?:No
Enumeration Date:2008-04-28
Last Update Date:2008-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ41YS00211600235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist