Healthcare Provider Details

I. General information

NPI: 1396878740
Provider Name (Legal Business Name): CENTER FOR SPEECH AND HEARING SCIENCES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/14/2007
Last Update Date: 07/21/2022
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: 732-613-9795
Mailing address:
  • Phone: 732-238-1664
  • Fax: 732-613-9795

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number
License Number StateNJ

VIII. Authorized Official

Name: MRS. ELLEN KELLY
Title or Position: DIRECTOR AUDIOLOGY
Credential: M.S.CCC-A
Phone: 732-238-1664