Provider Demographics
NPI:1710429402
Name:KOHN, TZIVIA (MA CCC-SLP)
Entity Type:Individual
Prefix:
First Name:TZIVIA
Middle Name:
Last Name:KOHN
Suffix:
Gender:F
Credentials:MA CCC-SLP
Other - Prefix:
Other - First Name:TZIVIA
Other - Middle Name:BRACHA
Other - Last Name:KAUFMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA CCC-SLP
Mailing Address - Street 1:968 BETHEL CHURCH RD
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:NJ
Mailing Address - Zip Code:08527-1715
Mailing Address - Country:US
Mailing Address - Phone:347-786-4907
Mailing Address - Fax:
Practice Address - Street 1:6 IRENE CT
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:08701-2988
Practice Address - Country:US
Practice Address - Phone:732-702-1534
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-11-10
Last Update Date:2023-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ41YS00871400235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist