# HACKENSACK SPEECH THERAPY INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043032279
- **Authorized official:** MOHAMMAD N ALQUDAH OWNER (SLP)
- **Authorized official phone:** (201) 740-2323

## Contact information

- **Practice address:** 20 COURT ST, HACKENSACK, NJ 07601-7048
- **Practice address phone:** (201) 740-2323
- **Mailing address:** 20 COURT ST, HACKENSACK, NJ 07601-7048
- **Mailing address phone:** (201) 740-2323
- **Mailing address fax:** (201) 740-2333

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 235Z00000X | Speech-Language Pathologist | — | NULL | — |
| 235Z00000X | Speech-Language Pathologist | — | — | — |
| 261QR0400X | Rehabilitation Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/29/2024
- **Last updated:** 10/29/2024