Organization
ENGLEWOOD SPEECH THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLA ANN FISHBEIN M.S.P.A. (SPEECH/LANGUAGE PATHOLOGIST)
(201) 286-5138
Entity
Organization
Contact information
Practice address
163 ENGLE ST, SUITE 1B, ENGLEWOOD, NJ 07631-2535
(201) 286-5138
(201) 569-6709
Mailing address
75 SHERWOOD RD, TENAFLY, NJ 07670-2734
(201) 286-5138
(201) 569-6709
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS00206100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1649342965
NPI INDIVIDUAL
NJ
Enumeration date
05/07/2008
Last updated
05/07/2008
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