Provider Demographics
NPI:1679879514
Name:JOGLAR, RALPH JR (MA CCC/SLP)
Entity Type:Individual
Prefix:MR
First Name:RALPH
Middle Name:
Last Name:JOGLAR
Suffix:JR
Gender:M
Credentials:MA CCC/SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:577 GRAND ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10002-4383
Mailing Address - Country:US
Mailing Address - Phone:212-254-7300
Mailing Address - Fax:212-254-8963
Practice Address - Street 1:3215 30TH ST
Practice Address - Street 2:
Practice Address - City:LONG ISLAND CITY
Practice Address - State:NY
Practice Address - Zip Code:11106-2969
Practice Address - Country:US
Practice Address - Phone:347-247-5278
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-02-09
Last Update Date:2011-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY009655235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist