Healthcare Provider Details

I. General information

NPI: 1467356014
Provider Name (Legal Business Name): AHUVA KAYLA FRISCHMAN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/06/2026
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1400 PALISADE AVE UNIT C
TEANECK NJ
07666-3537
US

IV. Provider business mailing address

16 HENRIETTA AVE
BERGENFIELD NJ
07621-4010
US

V. Phone/Fax

Practice location:
  • Phone: 201-357-0417
  • Fax:
Mailing address:
  • Phone: 201-468-7095
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberTL-5215
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: