Ann Bettina Lopez-Lam, MS, CCC-SLP, IBCLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

41YS00690800 Issued in NJ

Practice address

331 Newman Springs Rd
Building 1, 4TH Floor, Suite 143
Red Bank, NJ 07701-6767

Phone

(732) 234-9944

NPI assigned

Mar 23, 2020

Last updated

Jan 2, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Miss Bee SLP, LLC

  • Speech-Language Pathologist
  • Red Bank, NJ
  • NPI 1093446395

  Lactation Consultant, Non-RN

  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1584921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704153600000",
    "number": "1073149985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 NEWMAN SPRINGS ROAD",
            "address_2": "BUILDING 1, 4TH FLOOR, SUITE 143",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077016767",
            "telephone_number": "732-234-9944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 NEWMAN SPRINGS RD",
            "address_2": "BUILDING 1, 4TH FLOOR, SUITE 143",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077016767",
            "telephone_number": "732-234-9944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ-LAM",
        "first_name": "ANN BETTINA",
        "credential": "MS, CCC-SLP, IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-23",
        "last_updated": "2024-01-02",
        "certification_date": "2024-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Lactation Consultant, Non-RN",
            "state": null,
            "license": "L-312685",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS00690800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Liz Walter LCSW LLC
• Daniel Edward Locke, M.A.
• Judith Ann Loder, LCSW
• Kathleen Elizabeth Lolla, D.M.D.
• Joseph M Longo 3Rd, MSW LSW
• Nathalie Sofia Lopresti, PA-C
• Laura Elizabeth Loray, APN, PMHNP-BC
• Michael F Lospinuso, MD
• Linda Pilgrim Lotano, MS, NCC, LPC
• Johanna Lothian, PT

• Speech-Language Pathologist in Red Bank, NJ
• Providers in Red Bank, NJ by specialty
• Speech-Language Pathologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.