Provider Demographics
NPI:1396496824
Name:KUNSTLINGER, CHANA MIRIAM (SLP, DIR)
Entity type:Individual
Prefix:
First Name:CHANA
Middle Name:MIRIAM
Last Name:KUNSTLINGER
Suffix:
Gender:F
Credentials:SLP, DIR
Other - Prefix:
Other - First Name:CHANA
Other - Middle Name:
Other - Last Name:PRITZKER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:SLP
Mailing Address - Street 1:420 3RD ST
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08701-2528
Mailing Address - Country:US
Mailing Address - Phone:570-209-3517
Mailing Address - Fax:
Practice Address - Street 1:1950 RUTGERS UNIVERSITY BLVD
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:08701-4537
Practice Address - Country:US
Practice Address - Phone:732-554-2121
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-17
Last Update Date:2022-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist