MEDICARE: MALKI BRECHER 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	41YS00606700	NJ

General Provider Information

NPI Number	:	1841531050
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MALKI BRECHER SLP

Provider Business Mailing Address
First Line	:	146 TUDOR CT
Second Line	:
City	:	LAKEWOOD
State	:	NJ
Zip	:	08701-1471
Country	:	US
Telephone Number	:	732-905-6503
Fax Number	:

Provider Business Practice Location Address
First Line	:	146 TUDOR CT
Second Line	:
City	:	LAKEWOOD
State	:	NJ
Zip	:	08701-1471
Country	:	US
Telephone Number	:	732-905-6503
Fax Number	:

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

Provider Enumeration Date	:	03/13/2013
Last Update Date	:	03/13/2013

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Directions to “ MALKI BRECHER SLP” 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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