Tricia Corey
Individual provider Active NPI Speech-Language Pathologist · Mountainside, NJ
NPI 1083900641 · NPPES record last updated Jun 22, 2011
Key facts
- NPI
- 1083900641
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 41YS00660700 (NJ)
- Practice address
- 150 New Providence Rd
Mountainside, NJ 07092-2590 - Phone
- (908) 233-3720
- Fax
- (908) 301-5582
- NPI assigned
- Jun 22, 2011
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 41YS00660700 | NJ | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 41YS00660700 | NJ | Yes |
Addresses
Primary practice location
150 New Providence Rd
Mountainside, NJ 07092-2590
Mailing address
150 New Providence Rd
Mountainside, NJ 07092-2590
Phone (908) 233-3720
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All providers in Mountainside, NJ · Speech-Language Pathologist in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 22, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.