Terri-Leigh Joubert, MA CCC-SLP

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

NPI 1942568100 · NPPES record last updated Apr 25, 2012

Key facts

NPI
1942568100
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
41YS00417100 (NJ)
Practice address
118 Allerton Rd
Annandale, NJ 08801-3438
Phone
(908) 735-0228
NPI assigned
Apr 25, 2012
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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
41YS00417100NJMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 41YS00417100 NJ Yes

Addresses

Primary practice location

118 Allerton Rd
Annandale, NJ 08801-3438

Mailing address

118 Allerton Rd
Annandale, NJ 08801-3438
Phone (908) 735-0228

Other providers in Annandale, NJ

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

Sources for this page

Verify at the official NPI Registry.