Aminah Mohammad Abutayeb, SPEECH THERAPY
Individual provider Active NPI Speech-Language Pathologist · Clifton, NJ
NPI 1245065358 · NPPES record last updated Sep 6, 2024
Key facts
- NPI
- 1245065358
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- TL-4322 (NJ)
- Practice address
- 227 Lakeview Ave
Clifton, NJ 07011-4011 - Phone
- (973) 796-6954
- NPI assigned
- Sep 6, 2024
- 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 |
|---|---|---|---|
| TL-4322 | NJ | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist |
235Z00000X | TL-4322 | NJ | Yes |
Addresses
Primary practice location
227 Lakeview Ave
Clifton, NJ 07011-4011
Mailing address
360 N 11TH St
Prospect Park, NJ 07508-2235
Phone (973) 953-9999
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All providers in Clifton, 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 Sep 6, 2024. 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.