MEDICARE: SPEAK IT UP LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist		NJ

General Provider Information

NPI Number	:	1073031852
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SPEAK IT UP LLC

Provider Business Mailing Address
First Line	:	154 TUDOR CT
Second Line	:
City	:	LAKEWOOD
State	:	NJ
Zip	:	08701-1471
Country	:	US
Telephone Number	:	908-692-2272
Fax Number	:

Provider Business Practice Location Address
First Line	:	154 TUDOR CT
Second Line	:
City	:	LAKEWOOD
State	:	NJ
Zip	:	08701-1471
Country	:	US
Telephone Number	:	908-692-2272
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	CHANA NEUSTADT
Credential	:	SLP
Telephone Number	:	908-692-2272

Provider Enumeration Date	:	08/31/2017
Last Update Date	:	07/21/2022

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Directions to “SPEAK IT UP LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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