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NPI Code Detail

MEDICARE: BROOKE ELIZABETH VANDERLAAN

MEDICARE:   BROOKE ELIZABETH VANDERLAAN
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
1235Z00000XSpeech-Language Pathologist41YS01340200NJ

General Provider Information

NPI Number : 1528902103
Entity Type Code : Individual
Provider Name (Legal Business Name) : BROOKE ELIZABETH VANDERLAAN
Provider Business Mailing Address
First Line : 106 N FRANKLIN TPKE
Second Line :
City : RAMSEY
State : NJ
Zip : 07446-1627
Country : US
Telephone Number : 201-327-4400
Fax Number :
Provider Business Practice Location Address
First Line : 106 N FRANKLIN TPKE
Second Line :
City : RAMSEY
State : NJ
Zip : 07446-1627
Country : US
Telephone Number : 201-327-4400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/15/2026
Last Update Date : 04/15/2026

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Directions to “ BROOKE ELIZABETH VANDERLAAN ” Practice Location

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