Organization
SPEECH AND READING ACADEMY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA SHARBASH M.A. CCC-SLP (OWNER)
(732) 698-8766
Entity
Organization
Contact information
Practice address
8 OLD BRIDGE TPKE, SOUTH RIVER, NJ 08882-2400
(732) 698-8766
Mailing address
8 OLD BRIDGE TPKE, SOUTH RIVER, NJ 08882-2400
(732) 698-8766
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS00651500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1447543756
HORIZON BLUE CROSS BLUE SHIELD
—
Enumeration date
05/23/2018
Last updated
05/23/2018
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