MEDICARE: FIRST EXPRESSIONS SPEECH AND LANGUAGE THERAPY LLC

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	:	1396266391
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FIRST EXPRESSIONS SPEECH AND LANGUAGE THERAPY LLC

Provider Business Mailing Address
First Line	:	1375 RED OAK DR
Second Line	:
City	:	LAKEWOOD
State	:	NJ
Zip	:	08701-3924
Country	:	US
Telephone Number	:	718-710-6356
Fax Number	:

Provider Business Practice Location Address
First Line	:	1375 RED OAK DR
Second Line	:
City	:	LAKEWOOD
State	:	NJ
Zip	:	08701-3924
Country	:	US
Telephone Number	:	718-710-6356
Fax Number	:

Authorized Official
Title or Position	:	CO-OWNER
Name	:	MICHELLE M MULLER
Credential	:	SLP
Telephone Number	:	718-710-6356

Provider Enumeration Date	:	06/29/2017
Last Update Date	:	07/21/2022

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Directions to “FIRST EXPRESSIONS SPEECH AND LANGUAGE THERAPY LLC ” Practice Location

Language	Start Address	Practice Location

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