MEDICARE: SUPERIOR THERAPY

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

General Provider Information

NPI Number	:	1154807402
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SUPERIOR THERAPY

Provider Business Mailing Address
First Line	:	5 SHENANDOAH DR
Second Line	:
City	:	LAKEWOOD
State	:	NJ
Zip	:	08701-4979
Country	:	US
Telephone Number	:	848-240-5447
Fax Number	:

Provider Business Practice Location Address
First Line	:	5 SHENANDOAH DR
Second Line	:
City	:	LAKEWOOD
State	:	NJ
Zip	:	08701-4979
Country	:	US
Telephone Number	:	848-240-5447
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MIRIAM LORINER
Credential	:	SLP
Telephone Number	:	848-240-5447

Provider Enumeration Date	:	07/18/2018
Last Update Date	:	07/18/2018

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Directions to “SUPERIOR THERAPY ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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