Provider Demographics
NPI:1669747549
Name:DULCET SPEECH SERVICES, LLC
Entity type:Organization
Organization Name:DULCET SPEECH SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH PATHOLOGIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STACEY
Authorized Official - Middle Name:NADINE
Authorized Official - Last Name:DENAFO
Authorized Official - Suffix:
Authorized Official - Credentials:MA,CCC-SLP
Authorized Official - Phone:609-407-7117
Mailing Address - Street 1:2300 NEW RD
Mailing Address - Street 2:SUITE 201
Mailing Address - City:NORTHFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:08225-1466
Mailing Address - Country:US
Mailing Address - Phone:609-407-7117
Mailing Address - Fax:609-407-7110
Practice Address - Street 1:2300 NEW RD
Practice Address - Street 2:SUITE 201
Practice Address - City:NORTHFIELD
Practice Address - State:NJ
Practice Address - Zip Code:08225-1466
Practice Address - Country:US
Practice Address - Phone:609-407-7117
Practice Address - Fax:609-407-7110
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-12
Last Update Date:2012-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJYS03200235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
10654772OtherCAQH
1720355282OtherNPI TYPE I