Provider Demographics
NPI:1588004402
Name:RIBIAT, TOBY (SLP CCC)
Entity Type:Individual
Prefix:MRS
First Name:TOBY
Middle Name:
Last Name:RIBIAT
Suffix:
Gender:F
Credentials:SLP CCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:219 E 7TH ST
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08701-2006
Mailing Address - Country:US
Mailing Address - Phone:718-755-7878
Mailing Address - Fax:732-363-7902
Practice Address - Street 1:219 E 7TH ST
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:08701-2006
Practice Address - Country:US
Practice Address - Phone:718-755-7878
Practice Address - Fax:732-363-7902
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-25
Last Update Date:2013-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ41YS00625800235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist