Healthcare Provider Details

I. General information

NPI: 1265166300
Provider Name (Legal Business Name): RIVER & SPRING PARTNERS IN SPEECH, LANGUAGE, SOCIAL SKILLS & PARENTING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/14/2022
Last Update Date: 07/14/2022
Certification Date: 07/14/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

45 RIVER RD STE 4
SUMMIT NJ
07901-1452
US

IV. Provider business mailing address

45 RIVER RD STE 4
SUMMIT NJ
07901-1452
US

V. Phone/Fax

Practice location:
  • Phone: 973-479-4524
  • Fax:
Mailing address:
  • Phone: 973-479-4524
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QH0700X
TaxonomyHearing and Speech Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MRS. RACHEL LYNN CORTESE
Title or Position: SPEECH LANGUAGE PATHOLOGIST
Credential: MS
Phone: 908-858-5949