Charline Veytsman Ma CCC-SLP

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

License

41YS00485000 Issued in NJ

Legal business name

CHARLINE VEYTSMAN MA CCC-SLP

Practice address

2 Judith Dr
Englewood Cliffs, NJ 07632-2109

Phone

(917) 693-2172

NPI assigned

Dec 26, 2015

Organization subpart

No

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

Authorized official

Name

Ms. Charline Veytsman, MA

Title

Speech Pathologist

Phone

(917) 693-2172

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1451088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451088000000",
    "number": "1689039216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 JUDITH DR",
            "city": "ENGLEWOOD CLIFFS",
            "state": "NJ",
            "postal_code": "076322109",
            "telephone_number": "917-693-2172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 JUDITH DR",
            "city": "ENGLEWOOD CLIFFS",
            "state": "NJ",
            "postal_code": "076322109",
            "telephone_number": "917-693-2172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLINE VEYTSMAN MA CCC-SLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-26",
        "last_updated": "2015-12-26",
        "status": "A",
        "authorized_official_last_name": "VEYTSMAN",
        "authorized_official_first_name": "CHARLINE",
        "authorized_official_title_or_position": "SPEECH PATHOLOGIST",
        "authorized_official_telephone_number": "917-693-2172",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NJ",
            "license": "41YS00485000",
            "primary": true
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "012241-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Early Intervention Provider Agency in Englewood Cliffs, NJ
• Providers in Englewood Cliffs, NJ by specialty
• Early Intervention Provider Agency in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 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.