Provider Demographics
NPI:1881279750
Name:SCHECHTER, ELANA R
Entity type:Individual
Prefix:
First Name:ELANA
Middle Name:R
Last Name:SCHECHTER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18 ANTON ST
Mailing Address - Street 2:
Mailing Address - City:CLIFTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07014-1402
Mailing Address - Country:US
Mailing Address - Phone:973-508-0507
Mailing Address - Fax:
Practice Address - Street 1:18 ANTON ST
Practice Address - Street 2:
Practice Address - City:CLIFTON
Practice Address - State:NJ
Practice Address - Zip Code:07014-1402
Practice Address - Country:US
Practice Address - Phone:973-508-0507
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-12
Last Update Date:2021-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ41YS00902700235Z00000X
NJ41YS00952900235Z00000X
41YS009529002355S0801X
NJ4YS00925900235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
No2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant