Paula Del Coro
Individual provider Active NPI Speech-Language Pathologist · Green Village, NJ
NPI 1588092027 · NPPES record last updated Oct 18, 2013
Key facts
- NPI
- 1588092027
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 41YS00009900 (NJ)
- Practice address
- 48 Meyersville Rd
Green Village, NJ 07935-3026 - Phone
- (973) 377-6963
- NPI assigned
- Oct 18, 2013
- 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 |
|---|---|---|---|
| 41YS00009900 | NJ | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 41YS00009900 | NJ | Yes |
Addresses
Primary practice location
48 Meyersville Rd
Green Village, NJ 07935-3026
Mailing address
PO Box 103
Green Village, NJ 07935-0103
Phone (973) 377-6963
Other providers in Green Village, NJ
- Thomas Charles Barrett
- Heather Michelle Cannon
- Phillip Caruso
- Dr. Steven P. Wetcher, Optometric Physician
- Jeffrey Alexander Goodman
- Grace & Grit Wellness and Psychotherapy, LLC
- Michelle F. Greenberg
- John Grund
All providers in Green Village, 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 Oct 18, 2013. 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.