Pearl Braun Speech and Language Services LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

PEARL BRAUN SPEECH AND LANGUAGE SERVICES LLC

Practice address

57 Carasaljo Dr
Lakewood, NJ 08701-2309

Phone

(917) 797-9939

Fax

(732) 367-4858

NPI assigned

Aug 17, 2015

Last updated

Aug 17, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Peal Braun, SLP

Title

Owner

Phone

(917) 797-9939

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1439769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439769600000",
    "number": "1639545387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 CARASALJO DR",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087012309",
            "telephone_number": "917-797-9939",
            "fax_number": "732-367-4858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 CARASALJO DR",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087012309",
            "telephone_number": "917-797-9939",
            "fax_number": "732-367-4858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEARL BRAUN SPEECH AND LANGUAGE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-17",
        "last_updated": "2015-08-17",
        "status": "A",
        "authorized_official_last_name": "BRAUN",
        "authorized_official_first_name": "PEAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-797-9939",
        "authorized_official_credential": "SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2015; 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.