Provider Demographics
NPI:1710767140
Name:CLIFFORD, NOREEN GILPIN (MS, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:NOREEN
Middle Name:GILPIN
Last Name:CLIFFORD
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 ERIC CT
Mailing Address - Street 2:
Mailing Address - City:MONROE TOWNSHIP
Mailing Address - State:NJ
Mailing Address - Zip Code:08831-4008
Mailing Address - Country:US
Mailing Address - Phone:732-890-4284
Mailing Address - Fax:
Practice Address - Street 1:6 ERIC CT
Practice Address - Street 2:
Practice Address - City:MONROE TOWNSHIP
Practice Address - State:NJ
Practice Address - Zip Code:08831-4008
Practice Address - Country:US
Practice Address - Phone:732-890-4284
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-03
Last Update Date:2023-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ41YS00569100235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist