Anna Farro, M.A., CCC-SLP

Individual provider Active NPI Speech-Language Pathologist · West Long Branch, NJ

NPI 1225317852 · NPPES record last updated Aug 13, 2011

Key facts

NPI
1225317852
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
41YS00412000 (NJ)
Practice address
7 Forest St
West Long Branch, NJ 07764-1515
Phone
(732) 822-5140
NPI assigned
Aug 13, 2011
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

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

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
41YS00412000NJMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Innovation Speech and Language Therapy LLC Speech-Language Pathologist Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 41YS00412000 NJ Yes

Addresses

Primary practice location

7 Forest St
West Long Branch, NJ 07764-1515

Mailing address

7 Forest St
West Long Branch, NJ 07764-1515
Phone (732) 822-5140

Other providers in West Long Branch, NJ

All providers in West Long Branch, NJ · Speech-Language Pathologist in New Jersey

Sources for this page

Verify at the official NPI Registry.