Dana Bach Lindbloom, MS, CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Demarest, NJ
NPI 1780239269 · NPPES record last updated Aug 1, 2019
Key facts
- NPI
- 1780239269
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 41YS00999200 (NJ)
- Practice address
- 568 Piermont Rd.
Demarest, NJ 07627 - Phone
- (201) 768-6060
- NPI assigned
- Aug 1, 2019
- 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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 41YS00999200 | NJ | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 41YS00999200 | NJ | Yes |
Addresses
Primary practice location
568 Piermont Rd.
Demarest, NJ 07627
Mailing address
309 Westview Ave
Leonia, NJ 07605-1811
Phone (551) 265-0872
Other practice location 1
120 County Rd Ste 100
Tenafly, NJ 07670-1854
Phone (201) 894-5800
Other providers in Demarest, NJ
- Ruth B Klebansky
- Valerie Klebansky
- Knickerbocker Chiropractic Centre
- Seungyi Sophia Lee
- Yeo Jin Lee
- Emmett Charles Line
- Madison Medical Supplies
- Michi Nutrition
- Sonal R Modi
- Melissa Alexis Neustein
All providers in Demarest, 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 Aug 1, 2019. 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.