Provider Demographics
NPI:1962640227
Name:MAY, LUBA (CCC-SLP, TSHH)
Entity Type:Individual
Prefix:
First Name:LUBA
Middle Name:
Last Name:MAY
Suffix:
Gender:F
Credentials:CCC-SLP, TSHH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:54 HAAS RD
Mailing Address - Street 2:
Mailing Address - City:BASKING RIDGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07920-2670
Mailing Address - Country:US
Mailing Address - Phone:347-512-0100
Mailing Address - Fax:908-350-3017
Practice Address - Street 1:54 HAAS RD
Practice Address - Street 2:
Practice Address - City:BASKING RIDGE
Practice Address - State:NJ
Practice Address - Zip Code:07920-2670
Practice Address - Country:US
Practice Address - Phone:347-512-0100
Practice Address - Fax:908-350-3017
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-25
Last Update Date:2021-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist