# ADVANCED SPEECH THERAPY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Advanced Speech Therapy NC PLLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1932732112
- **Authorized official:** MRS. GEZIME DJONOVIC MS, CCC-SLP (SPEECH PATHOLOGIST)
- **Authorized official phone:** (201) 675-3396

## Contact information

- **Practice address:** 59 BEAVERBROOK RD STE 303C, LINCOLN PARK, NJ 07035-1772
- **Practice address phone:** (201) 675-3396
- **Mailing address:** 59 BEAVERBROOK RD STE 303C, LINCOLN PARK, NJ 07035-1772
- **Mailing address phone:** (201) 675-3396

## Taxonomy

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

## Other

- **Enumeration date:** 02/17/2020
- **Last updated:** 02/18/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1235543547 | NPI | NJ |
| 01 | — | 1497211403 | NPI | NJ |