Provider Demographics
NPI:1649647371
Name:SCHIFF, CARLY SHAINA (MS, CCC-SLP)
Entity type:Individual
Prefix:
First Name:CARLY
Middle Name:SHAINA
Last Name:SCHIFF
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:CARLY
Other - Middle Name:SHAINA
Other - Last Name:CANTOR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:256 BUNN DR STE A
Mailing Address - Street 2:
Mailing Address - City:PRINCETON
Mailing Address - State:NJ
Mailing Address - Zip Code:08540-2859
Mailing Address - Country:US
Mailing Address - Phone:609-430-9200
Mailing Address - Fax:609-430-9202
Practice Address - Street 1:256 BUNN DR STE A
Practice Address - Street 2:
Practice Address - City:PRINCETON
Practice Address - State:NJ
Practice Address - Zip Code:08540-2859
Practice Address - Country:US
Practice Address - Phone:609-430-9200
Practice Address - Fax:609-430-9202
Is Sole Proprietor?:No
Enumeration Date:2015-08-28
Last Update Date:2019-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASL014216235Z00000X
NY025710235Z00000X
OHSP11872235Z00000X
NJ41YS00977700235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist