Provider Demographics
NPI:1740470228
Name:LOTLIKAR-KAMATH, SWATI (MPA,MS, CCC-A)
Entity type:Individual
Prefix:MRS
First Name:SWATI
Middle Name:
Last Name:LOTLIKAR-KAMATH
Suffix:
Gender:F
Credentials:MPA,MS, CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:741 NORTHFIELD AVE STE 104
Mailing Address - Street 2:
Mailing Address - City:WEST ORANGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07052-1104
Mailing Address - Country:US
Mailing Address - Phone:973-243-0600
Mailing Address - Fax:973-243-0707
Practice Address - Street 1:741 NORTHFIELD AVE STE 104
Practice Address - Street 2:
Practice Address - City:WEST ORANGE
Practice Address - State:NJ
Practice Address - Zip Code:07052-1104
Practice Address - Country:US
Practice Address - Phone:973-243-0600
Practice Address - Fax:973-243-0707
Is Sole Proprietor?:No
Enumeration Date:2007-07-31
Last Update Date:2019-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MG00088500231HA2400X
NJ41YA 00054600231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No231HA2400XSpeech, Language and Hearing Service ProvidersAudiologistAssistive Technology Practitioner