Provider Demographics
NPI:1578321154
Name:SPEECH ACCENT AND LANGUAGE TRAINING INSTITUTE LLC
Entity Type:Organization
Organization Name:SPEECH ACCENT AND LANGUAGE TRAINING INSTITUTE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH LANGUAGE PATHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ROWENA
Authorized Official - Middle Name:DEANNE
Authorized Official - Last Name:MOORE
Authorized Official - Suffix:
Authorized Official - Credentials:SLPD
Authorized Official - Phone:856-873-1674
Mailing Address - Street 1:194 N HARRISON ST STE 1
Mailing Address - Street 2:
Mailing Address - City:PRINCETON
Mailing Address - State:NJ
Mailing Address - Zip Code:08540-3516
Mailing Address - Country:US
Mailing Address - Phone:856-873-1674
Mailing Address - Fax:
Practice Address - Street 1:194 N HARRISON ST STE 1
Practice Address - Street 2:
Practice Address - City:PRINCETON
Practice Address - State:NJ
Practice Address - Zip Code:08540-3516
Practice Address - Country:US
Practice Address - Phone:856-873-1674
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-08
Last Update Date:2024-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty