Provider Demographics
NPI:1396421400
Name:SENSATIONALL KIDS NJ SLP
Entity type:Organization
Organization Name:SENSATIONALL KIDS NJ SLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, SLP
Authorized Official - Prefix:
Authorized Official - First Name:LAUREN
Authorized Official - Middle Name:
Authorized Official - Last Name:SIGONA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:347-896-5955
Mailing Address - Street 1:2907 AMBOY RD
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10306-2008
Mailing Address - Country:US
Mailing Address - Phone:347-896-5955
Mailing Address - Fax:646-843-3616
Practice Address - Street 1:4004-4006 ROUTE 9 S
Practice Address - Street 2:
Practice Address - City:MARLBORO
Practice Address - State:NJ
Practice Address - Zip Code:07751
Practice Address - Country:US
Practice Address - Phone:347-896-5955
Practice Address - Fax:646-843-3616
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-23
Last Update Date:2023-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty