Provider Demographics
NPI:1609212570
Name:HARPSTER, KENNETH BRUCE (MA, CCC-SLP)
Entity Type:Individual
Prefix:MR
First Name:KENNETH
Middle Name:BRUCE
Last Name:HARPSTER
Suffix:
Gender:M
Credentials:MA, CCC-SLP
Other - Prefix:MR
Other - First Name:K.
Other - Middle Name:BRUCE
Other - Last Name:HARPSTER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MA, CCC-SLP
Mailing Address - Street 1:P.O. BOX 326
Mailing Address - Street 2:
Mailing Address - City:METUCHEN
Mailing Address - State:NJ
Mailing Address - Zip Code:08840
Mailing Address - Country:US
Mailing Address - Phone:908-930-8719
Mailing Address - Fax:
Practice Address - Street 1:200 MIDDLESEX - ESSEX TURNPIKE
Practice Address - Street 2:SUITE 306N
Practice Address - City:ISELIN
Practice Address - State:NJ
Practice Address - Zip Code:08830
Practice Address - Country:US
Practice Address - Phone:908-930-8719
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-17
Last Update Date:2013-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ41YS004680002355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant