Provider Demographics
NPI:1821705419
Name:SCHUBERT, ESTHER (SLP)
Entity Type:Individual
Prefix:
First Name:ESTHER
Middle Name:
Last Name:SCHUBERT
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:ESTHER
Other - Middle Name:
Other - Last Name:WEINBERGER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:SLP
Mailing Address - Street 1:38 SUNSET RD
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08701-3173
Mailing Address - Country:US
Mailing Address - Phone:443-301-2821
Mailing Address - Fax:
Practice Address - Street 1:38 SUNSET RD
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:08701-3173
Practice Address - Country:US
Practice Address - Phone:443-301-2821
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-02
Last Update Date:2022-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2022037408235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist