MEDICARE: SPEECH & HEARING ASSOCIATES 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	41YS00099200	NJ
2	231H00000X	Audiologist	41YA00005300	NJ

General Provider Information

NPI Number	:	1134129067
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SPEECH & HEARING ASSOCIATES LLC

Provider Business Mailing Address
First Line	:	121 S EUCLID AVE
Second Line	:
City	:	WESTFIELD
State	:	NJ
Zip	:	07090-2129
Country	:	US
Telephone Number	:	908-232-2900
Fax Number	:	908-232-3583

Provider Business Practice Location Address
First Line	:	121 S EUCLID AVE
Second Line	:
City	:	WESTFIELD
State	:	NJ
Zip	:	07090-2129
Country	:	US
Telephone Number	:	908-232-2900
Fax Number	:	908-232-3583

Authorized Official
Title or Position	:	DIRECTOR
Name	:	ROBERT W WOODS
Credential	:
Telephone Number	:	908-232-2900

Provider Enumeration Date	:	07/21/2005
Last Update Date	:	07/28/2008

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