Healthcare Provider Details

I. General information

NPI: 1912888066
Provider Name (Legal Business Name): SOULFUL SPEECH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/08/2025
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4 S HOLMDEL RD
HOLMDEL NJ
07733-2130
US

IV. Provider business mailing address

4 S HOLMDEL RD
HOLMDEL NJ
07733-2130
US

V. Phone/Fax

Practice location:
  • Phone: 732-233-7845
  • Fax:
Mailing address:
  • Phone: 732-233-7845
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: LENA TRAGNI
Title or Position: SPEECH LANGUAGE PATHOLOGIST
Credential: M.A., CCC-SLP
Phone: 732-233-7845