# IVORY THERAPY GROUP INC

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

## Provider details

- **NPI number:** 1518318799
- **Authorized official:** BENZION MUELLER SLP (PRESIDENT)
- **Authorized official phone:** (732) 655-8255

## Contact information

- **Practice address:** 1469 CEDARVIEW AVE, LAKEWOOD, NJ 08701-1720
- **Practice address phone:** (732) 655-8255
- **Practice address fax:** (212) 776-0798
- **Mailing address:** 1469 CEDARVIEW AVE, LAKEWOOD, NJ 08701-1720
- **Mailing address phone:** (732) 655-8255
- **Mailing address fax:** (212) 776-0798

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 235Z00000X | Speech-Language Pathologist | — | NULL | Yes |
| 235Z00000X | Speech-Language Pathologist | — | — | Yes |

## Other

- **Enumeration date:** 06/28/2016
- **Last updated:** 06/28/2016