MEDICARE: HALLIE LOESCH MS ED. SLP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	41YS01333800	NJ

General Provider Information

NPI Number	:	1134011778
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HALLIE LOESCH MS ED. SLP

Provider Business Mailing Address
First Line	:	24 HAMPSHIRE CT APT B
Second Line	:
City	:	NEPTUNE CITY
State	:	NJ
Zip	:	07753-6450
Country	:	US
Telephone Number	:	908-239-9308
Fax Number	:

Provider Business Practice Location Address
First Line	:	1769 HOOPER AVENUE
Second Line	:
City	:	TOMS RIVER
State	:	NJ
Zip	:	08753
Country	:	US
Telephone Number	:	732-913-0599
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/17/2025
Last Update Date	:	02/11/2026

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Directions to “ HALLIE LOESCH MS ED. SLP” Practice Location

Language	Start Address	Practice Location

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