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NPI Code Detail

MEDICARE: YEHUDIT ZUSSMAN MS CCC SLP

MEDICARE:   YEHUDIT  ZUSSMAN  MS CCC 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
1235Z00000XSpeech-Language Pathologist41YS00756500NJ

General Provider Information

NPI Number : 1891173332
Entity Type Code : Individual
Provider Name (Legal Business Name) : YEHUDIT ZUSSMAN MS CCC SLP
Provider Business Mailing Address
First Line : 1200 RIVER AVE
Second Line : 3C
City : LAKEWOOD
State : NJ
Zip : 08701-5657
Country : US
Telephone Number : 732-994-0350
Fax Number :
Provider Business Practice Location Address
First Line : 1200 RIVER AVE
Second Line : 3C
City : LAKEWOOD
State : NJ
Zip : 08701-5657
Country : US
Telephone Number : 732-994-0350
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/17/2015
Last Update Date : 05/17/2015

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Directions to “ YEHUDIT ZUSSMAN MS CCC SLP” Practice Location

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