Basic Information
Provider Information
NPI: 1235254558
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ZWEIMAN
FirstName: ALLISON
MiddleName: FAYE
NamePrefix: MISS
NameSuffix:  
Credential: SLP-CCC
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 57 SCHWINN DR
Address2:  
City: CLARK
State: NJ
PostalCode: 070662724
CountryCode: US
TelephoneNumber: 7323820492
FaxNumber:  
Practice Location
Address1: 1400 WOODLAND AVE
Address2:  
City: PLAINFIELD
State: NJ
PostalCode: 070603362
CountryCode: US
TelephoneNumber: 9087531113
FaxNumber: 9087539558
Other Information
ProviderEnumerationDate: 03/20/2007
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
235Z00000X41YSOO519700NJY Speech, Language and Hearing Service ProvidersSpeech-Language Pathologist 

No ID Information.


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