Provider Demographics
NPI:1639862550
Name:BILINGUAL THERAPY SERVICES
Entity Type:Organization
Organization Name:BILINGUAL THERAPY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:
Authorized Official - Last Name:MARINE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:908-220-5259
Mailing Address - Street 1:142 LIVINGSTON ST FL 1
Mailing Address - Street 2:
Mailing Address - City:ELIZABETH
Mailing Address - State:NJ
Mailing Address - Zip Code:07206-1731
Mailing Address - Country:US
Mailing Address - Phone:908-220-5259
Mailing Address - Fax:
Practice Address - Street 1:142 LIVINGSTON ST FL 1
Practice Address - Street 2:
Practice Address - City:ELIZABETH
Practice Address - State:NJ
Practice Address - Zip Code:07206-1731
Practice Address - Country:US
Practice Address - Phone:908-220-5259
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-26
Last Update Date:2023-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center