Provider Demographics
NPI:1750034872
Name:ONE-ON-ONE SPEECH THERAPY
Entity Type:Organization
Organization Name:ONE-ON-ONE SPEECH THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILINGUAL SLP
Authorized Official - Prefix:
Authorized Official - First Name:FARWA
Authorized Official - Middle Name:A
Authorized Official - Last Name:HUSAIN
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CCC-SLP
Authorized Official - Phone:469-371-0532
Mailing Address - Street 1:21 DAHLIA CT
Mailing Address - Street 2:
Mailing Address - City:PISCATAWAY
Mailing Address - State:NJ
Mailing Address - Zip Code:08854-6673
Mailing Address - Country:US
Mailing Address - Phone:469-371-0532
Mailing Address - Fax:
Practice Address - Street 1:575 ROUTE 28, BLDG 1, SUITE 204A,
Practice Address - Street 2:
Practice Address - City:RARITAN
Practice Address - State:NJ
Practice Address - Zip Code:08869
Practice Address - Country:US
Practice Address - Phone:469-371-0532
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-28
Last Update Date:2023-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ5874OtherHEALTH PARTNERS
NJ236Medicaid
NJ568946544OtherBCBS