Healthcare Provider Details

I. General information

NPI: 1912283524
Provider Name (Legal Business Name): CHAYA B. LEVINE MA, CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/26/2011
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

58 CONCORD CIR
HOWELL NJ
07731-1560
US

IV. Provider business mailing address

58 CONCORD CIR
HOWELL NJ
07731-1560
US

V. Phone/Fax

Practice location:
  • Phone: 908-216-6597
  • Fax:
Mailing address:
  • Phone: 908-216-6597
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number41YS00707600
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: