=====================================================
General NPI Number Information
=====================================================
NPI Number | 1811615685
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | EXPRESSABLE THERAPY OF NEW JERSEY PC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/18/2022
-----------------------------------------------------
Last Update Date | 10/09/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 101 EISENHOWER PKWY STE 300
-----------------------------------------------------
City | ROSELAND
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 07068-1054
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 512-399-0064
-----------------------------------------------------
Fax | 512-546-6034
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 440 N BARRANCA AVE # 9898
-----------------------------------------------------
City | COVINA
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 91723-1722
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 512-377-6318
-----------------------------------------------------
Fax | 512-546-6034
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | LEANNE SHERRED
-----------------------------------------------------
Credential | M.S. CCC-SLP
-----------------------------------------------------
Telephone | 512-377-6318
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 235Z00000X
-----------------------------------------------------
Taxonomy Name | Speech-Language Pathologist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------