Provider Demographics
NPI:1932584984
Name:SLPS
Entity Type:Organization
Organization Name:SLPS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NECHAMA
Authorized Official - Middle Name:
Authorized Official - Last Name:EHRENREICH
Authorized Official - Suffix:
Authorized Official - Credentials:SLP
Authorized Official - Phone:908-309-6029
Mailing Address - Street 1:62 GUDZ RD
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08701-2912
Mailing Address - Country:US
Mailing Address - Phone:908-309-6029
Mailing Address - Fax:732-942-8713
Practice Address - Street 1:62 GUDZ RD
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:08701-2912
Practice Address - Country:US
Practice Address - Phone:908-309-6029
Practice Address - Fax:732-942-8713
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-20
Last Update Date:2015-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty