Alina Davis

Individual provider Active NPI Speech-Language Pathologist · Iselin, NJ

NPI 1790207553 · NPPES record last updated Jul 13, 2017

Key facts

NPI
1790207553
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
Practice address
485A Route 1 S Ste 260
Iselin, NJ 08830-3012
Phone
(732) 917-2961
NPI assigned
Jul 13, 2017
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X Yes

Addresses

Primary practice location

485A Route 1 S Ste 260
Iselin, NJ 08830-3012

Mailing address

1041 Christina Dr
Leesport, PA 19533-8800

Other providers in Iselin, NJ

All providers in Iselin, NJ · Speech-Language Pathologist in New Jersey

Sources for this page

Verify at the official NPI Registry.