Provider Demographics
NPI:1598916678
Name:SPERLING, ANDREW L (MS,CCC A)
Entity Type:Individual
Prefix:
First Name:ANDREW
Middle Name:L
Last Name:SPERLING
Suffix:
Gender:M
Credentials:MS,CCC A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:47 ORIENT WAY
Mailing Address - Street 2:LOWER LEVEL
Mailing Address - City:RUTHERFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:07070-2082
Mailing Address - Country:US
Mailing Address - Phone:201-935-5508
Mailing Address - Fax:201-935-4166
Practice Address - Street 1:47 ORIENT WAY
Practice Address - Street 2:LOWER LEVEL
Practice Address - City:RUTHERFORD
Practice Address - State:NJ
Practice Address - Zip Code:07070-2082
Practice Address - Country:US
Practice Address - Phone:201-935-5508
Practice Address - Fax:201-935-4166
Is Sole Proprietor?:No
Enumeration Date:2008-10-07
Last Update Date:2011-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ41YA00013100231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist