Healthcare Provider Details

I. General information

NPI: 1306918032
Provider Name (Legal Business Name): RONNIE HSIEH LI MS CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: RON-MING HSIEH LI MS CCC-SLP

II. Dates (important events)

Enumeration Date: 11/15/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

44 MILLTOWN RD
EAST BRUNSWICK NJ
08816-2356
US

IV. Provider business mailing address

44 MILLTOWN RD
EAST BRUNSWICK NJ
08816-2356
US

V. Phone/Fax

Practice location:
  • Phone: 732-238-1664
  • Fax:
Mailing address:
  • Phone: 732-238-1664
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: