Provider Demographics
NPI:1578857157
Name:EHRENREICH, NECHAMA M (MA CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:NECHAMA
Middle Name:M
Last Name:EHRENREICH
Suffix:
Gender:F
Credentials:MA CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:62 GUDZ RD
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08701-2912
Mailing Address - Country:US
Mailing Address - Phone:732-942-8713
Mailing Address - Fax:732-942-8713
Practice Address - Street 1:62 GUDZ RD
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:08701-2912
Practice Address - Country:US
Practice Address - Phone:732-942-8713
Practice Address - Fax:732-942-8713
Is Sole Proprietor?:No
Enumeration Date:2011-06-01
Last Update Date:2011-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ41YS00497500235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist