Judith Hansen Ms CCC-SLP LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

YSO1165 Issued in NJ

Legal business name

JUDITH HANSEN MS CCC-SLP LLC

Practice address

5 Walter Foran Blvd
Unit 2003
Flemington, NJ 08822-4572

Phone

(908) 788-9006

Fax

(908) 788-9092

NPI assigned

May 4, 2007

Organization subpart

No

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

Authorized official

Name

Judith Hansen

Title

Speech-Language Pathologist, Owner

Phone

(908) 788-9006

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1275745192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 WALTER FORAN BLVD",
            "address_2": "UNIT 2003",
            "city": "FLEMINGTON",
            "state": "NJ",
            "postal_code": "088224572",
            "telephone_number": "908-788-9006",
            "fax_number": "908-788-9092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 WALTER FORAN BLVD",
            "address_2": "UNIT 2003",
            "city": "FLEMINGTON",
            "state": "NJ",
            "postal_code": "088224572",
            "telephone_number": "908-788-9006",
            "fax_number": "908-788-9092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUDITH HANSEN MS CCC-SLP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HANSEN",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST, OWNER",
        "authorized_official_telephone_number": "908-788-9006"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "YSO1165",
            "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.