Alliance Speech & Language Center, LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

41YS00198700 Issued in NJ

Legal business name

ALLIANCE SPEECH & LANGUAGE CENTER, LLC

Practice address

4691 Hwy 9
Howell, NJ 07731-3384

Phone

(732) 942-7220

Fax

(732) 942-7225

NPI assigned

Dec 8, 2016

Last updated

Dec 8, 2016By 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

Mrs. Shira Kirsh, MS, CCC-SLP

Title

Owner, Speech Language Pathologist

Phone

(732) 942-7220

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1481155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481155200000",
    "number": "1730623877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4691 HWY 9",
            "city": "HOWELL",
            "state": "NJ",
            "postal_code": "077313384",
            "telephone_number": "732-942-7220",
            "fax_number": "732-942-7225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4691 HWY 9",
            "city": "HOWELL",
            "state": "NJ",
            "postal_code": "077313384",
            "telephone_number": "732-942-7220",
            "fax_number": "732-942-7225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIANCE SPEECH & LANGUAGE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-08",
        "last_updated": "2016-12-08",
        "status": "A",
        "authorized_official_last_name": "KIRSH",
        "authorized_official_first_name": "SHIRA",
        "authorized_official_title_or_position": "OWNER, SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "732-942-7220",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS00198700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI INIVIDUAL",
            "identifier": "1366435489",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2016; 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.