Tri-State Therapy Consultants, LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

41YS00320900 Issued in NJ

Legal business name

TRI-STATE THERAPY CONSULTANTS, LLC

Practice address

23 Roosevelt Blvd
Berlin, NJ 08009-1192

Phone

(856) 740-4447

Fax

(856) 740-4949

NPI assigned

Nov 28, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Ingrid Janella Crew, MS,CCC-SLPNPI 1003402488

Title

Speech-Language Pathologist

Phone

(856) 719-0380

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ingrid Crew, CCC-SLP/L

  • Speech-Language Pathologist
  • Medford, NJ
  • NPI 1003402488
  NPD Authorized official

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1225105265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 868",
            "city": "SICKLERVILLE",
            "state": "NJ",
            "postal_code": "080810868",
            "telephone_number": "856-740-4447",
            "fax_number": "856-740-4949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 ROOSEVELT BLVD",
            "city": "BERLIN",
            "state": "NJ",
            "postal_code": "080091192",
            "telephone_number": "856-740-4447",
            "fax_number": "856-740-4949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-STATE THERAPY CONSULTANTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CREW",
        "authorized_official_first_name": "INGRID",
        "authorized_official_middle_name": "JANELLA",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "856-719-0380",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS,CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS00320900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.