Provider Demographics
NPI:1780461996
Name:LOUIE, NATALIE (MS SLP, TSSLD)
Entity type:Individual
Prefix:
First Name:NATALIE
Middle Name:
Last Name:LOUIE
Suffix:
Gender:F
Credentials:MS SLP, TSSLD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26 COLSON CT
Mailing Address - Street 2:
Mailing Address - City:PISCATAWAY
Mailing Address - State:NJ
Mailing Address - Zip Code:08854-6262
Mailing Address - Country:US
Mailing Address - Phone:917-282-3300
Mailing Address - Fax:
Practice Address - Street 1:26 COLSON CT
Practice Address - Street 2:
Practice Address - City:PISCATAWAY
Practice Address - State:NJ
Practice Address - Zip Code:08854-6262
Practice Address - Country:US
Practice Address - Phone:917-282-3300
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-11
Last Update Date:2024-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY034451235Z00000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program