Provider Demographics
NPI:1083459952
Name:VALEICH, KARA (CCC-SLP)
Entity type:Individual
Prefix:
First Name:KARA
Middle Name:
Last Name:VALEICH
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:KARA
Other - Middle Name:
Other - Last Name:KULESA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CCC-SLP
Mailing Address - Street 1:8 ROBERT ST
Mailing Address - Street 2:
Mailing Address - City:STANHOPE
Mailing Address - State:NJ
Mailing Address - Zip Code:07874-3413
Mailing Address - Country:US
Mailing Address - Phone:973-479-8047
Mailing Address - Fax:
Practice Address - Street 1:55 MADISON AVE
Practice Address - Street 2:
Practice Address - City:MORRISTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07960-7337
Practice Address - Country:US
Practice Address - Phone:201-787-6786
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-01
Last Update Date:2024-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ41YS00494700235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist