Provider Demographics
NPI:1760828305
Name:SPERLING SPEECH ASSOCIATES LLC
Entity Type:Organization
Organization Name:SPERLING SPEECH ASSOCIATES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER/ SPEECH PATHOLOGIST
Authorized Official - Prefix:MS
Authorized Official - First Name:HEIDI
Authorized Official - Middle Name:
Authorized Official - Last Name:SPERLING-FREEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MSCCC
Authorized Official - Phone:732-689-1209
Mailing Address - Street 1:344 MAIN ST STE A
Mailing Address - Street 2:
Mailing Address - City:METUCHEN
Mailing Address - State:NJ
Mailing Address - Zip Code:08840-2432
Mailing Address - Country:US
Mailing Address - Phone:732-689-1209
Mailing Address - Fax:732-321-0164
Practice Address - Street 1:344 MAIN ST STE A
Practice Address - Street 2:
Practice Address - City:METUCHEN
Practice Address - State:NJ
Practice Address - Zip Code:08840-2432
Practice Address - Country:US
Practice Address - Phone:732-689-1209
Practice Address - Fax:732-321-0164
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-21
Last Update Date:2013-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJYS00803235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty