Provider Demographics
NPI:1598041345
Name:REHM, ERIN JEAN (SLP)
Entity Type:Individual
Prefix:MRS
First Name:ERIN
Middle Name:JEAN
Last Name:REHM
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:MS
Other - First Name:ERIN
Other - Middle Name:JEAN
Other - Last Name:KUBAREWICZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:SLP
Mailing Address - Street 1:1515 LAMBERTS MILL RD
Mailing Address - Street 2:
Mailing Address - City:WESTFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07090-4763
Mailing Address - Country:US
Mailing Address - Phone:908-301-8259
Mailing Address - Fax:
Practice Address - Street 1:1515 LAMBERTS MILL RD
Practice Address - Street 2:
Practice Address - City:WESTFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07090-4763
Practice Address - Country:US
Practice Address - Phone:908-301-8259
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-10-25
Last Update Date:2011-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ41YS00636000235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist