Organization
SPEECH FOUNDATIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHAYA SITORSKY (MANAGER)
(732) 600-6875
Entity
Organization
Contact information
Practice address
957 PRINCEWOOD AVE, LAKEWOOD, NJ 08701-5538
(732) 600-6875
Mailing address
957 PRINCEWOOD AVE, LAKEWOOD, NJ 08701-5538
(732) 600-6875
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1811294622
NPI
NJ
01
—
1811294622
NPI
—
Enumeration date
06/19/2020
Last updated
11/27/2023
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