Individual
MAYTA EISENSTADT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1135 E VETERANS HWY STE 4, BLDG 3, SUITE 4, JACKSON, NJ 08527-5090
(848) 285-5217
Mailing address
24 ESTI CIR, LAKEWOOD, NJ 08701-4053
(848) 245-6193
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
TL-4979
NJ
Other
Enumeration date
01/08/2026
Last updated
01/08/2026
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