Provider Demographics
NPI:1649767757
Name:SEEN & HEARD SPEECH THERAPY, LLC.
Entity Type:Organization
Organization Name:SEEN & HEARD SPEECH THERAPY, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH-LANGUAGE PATHOLOGIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:C
Authorized Official - Last Name:THOMS
Authorized Official - Suffix:
Authorized Official - Credentials:MA CCC-SLP
Authorized Official - Phone:609-515-5882
Mailing Address - Street 1:142 N VIENNA AVE
Mailing Address - Street 2:
Mailing Address - City:EGG HARBOR CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:08215-3243
Mailing Address - Country:US
Mailing Address - Phone:609-515-5882
Mailing Address - Fax:
Practice Address - Street 1:142 N VIENNA AVE
Practice Address - Street 2:
Practice Address - City:EGG HARBOR CITY
Practice Address - State:NJ
Practice Address - Zip Code:08215-3243
Practice Address - Country:US
Practice Address - Phone:609-515-5882
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-16
Last Update Date:2018-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ41YS00567400261QH0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ41YS00567400OtherNEW JERSEY STATE LICENSE: SPEECH-LANGUAGE PATHOLOGIST