Healthcare Provider Details

I. General information

NPI: 1497669014
Provider Name (Legal Business Name): GENEVIEVE CASEY, SPEECH-LANGUAGE PATHOLOGY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/30/2026
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

623 EAGLE ROCK AVE # 388
WEST ORANGE NJ
07052-2948
US

IV. Provider business mailing address

PO BOX 388
WEST ORANGE NJ
07052-0388
US

V. Phone/Fax

Practice location:
  • Phone: 631-873-8179
  • Fax:
Mailing address:
  • Phone: 631-873-8179
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: GENEVIEVE ELIZABETH CASEY
Title or Position: SPEECH-LANGUAGE PATHOLOGIST
Credential: M.A., CCC-SLP
Phone: 631-873-8179