Speech Language Leaders, LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

41YS00527500 Issued in NJ

Legal business name

SPEECH LANGUAGE LEADERS, LLC

Practice address

1509 Newport Dr
Lakewood, NJ 08701-3918

Phone

(732) 865-5632

Fax

(732) 905-8212

NPI assigned

Aug 12, 2013

Organization subpart

No

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

Authorized official

Name

Mrs. Deena M Bodenheim, MS-CCC, SLP

Title

Owner

Phone

(732) 865-5632

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1376265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376265600000",
    "number": "1851724967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1509 NEWPORT DR",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087013918",
            "telephone_number": "732-865-5632",
            "fax_number": "732-905-8212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1509 NEWPORT DR",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087013918",
            "telephone_number": "732-865-5632",
            "fax_number": "732-905-8212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPEECH LANGUAGE LEADERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-12",
        "last_updated": "2013-08-12",
        "status": "A",
        "authorized_official_last_name": "BODENHEIM",
        "authorized_official_first_name": "DEENA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-865-5632",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS-CCC, SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS00527500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Providers in Lakewood, NJ by specialty
• Speech-Language Pathologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2013; 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.