Healthcare Provider Details

I. General information

NPI: 1750742409
Provider Name (Legal Business Name): SENSORY SPEECH AND SOCIALIZATION ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/09/2016
Last Update Date: 03/09/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

242 WASHINGTON AVE OFC J
NUTLEY NJ
07110-3934
US

IV. Provider business mailing address

242 WASHINGTON AVE OFC J
NUTLEY NJ
07110-3934
US

V. Phone/Fax

Practice location:
  • Phone: 888-627-5578
  • Fax:
Mailing address:
  • Phone: 888-627-5578
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: ROSA ALLOWAY
Title or Position: CEO
Credential: MSW
Phone: 888-627-5578