Provider Demographics
NPI:1760686919
Name:RESNICK CONSULTANTS
Entity Type:Organization
Organization Name:RESNICK CONSULTANTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DANA
Authorized Official - Middle Name:M
Authorized Official - Last Name:RESNICK
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:732-679-7474
Mailing Address - Street 1:6 INVERNESS DR
Mailing Address - Street 2:
Mailing Address - City:OLD BRIDGE
Mailing Address - State:NJ
Mailing Address - Zip Code:08857-2608
Mailing Address - Country:US
Mailing Address - Phone:732-679-7474
Mailing Address - Fax:732-679-7074
Practice Address - Street 1:6 INVERNESS DR
Practice Address - Street 2:
Practice Address - City:OLD BRIDGE
Practice Address - State:NJ
Practice Address - Zip Code:08857-2608
Practice Address - Country:US
Practice Address - Phone:732-679-7474
Practice Address - Fax:732-679-7074
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-12
Last Update Date:2009-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ41YS00313300235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty