Provider Demographics
NPI:1821749623
Name:ERPS, NECHAMA S
Entity Type:Individual
Prefix:
First Name:NECHAMA
Middle Name:S
Last Name:ERPS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:294 DEWEY AVE
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08701-3568
Mailing Address - Country:US
Mailing Address - Phone:718-864-0992
Mailing Address - Fax:
Practice Address - Street 1:294 DEWEY AVE
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:08701-3568
Practice Address - Country:US
Practice Address - Phone:718-864-0992
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-12
Last Update Date:2022-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
41YS00607300235Z00000X
NJ41YS00607300235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist