Provider Demographics
NPI:1104667518
Name:NRC, LLC
Entity type:Organization
Organization Name:NRC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH-LANGUAGE PATHOLOGIST
Authorized Official - Prefix:MISS
Authorized Official - First Name:NICOLETTE
Authorized Official - Middle Name:ROSE
Authorized Official - Last Name:CONTELLA
Authorized Official - Suffix:
Authorized Official - Credentials:SLP
Authorized Official - Phone:732-890-7869
Mailing Address - Street 1:510 8TH AVE
Mailing Address - Street 2:
Mailing Address - City:BELMAR
Mailing Address - State:NJ
Mailing Address - Zip Code:07719-2221
Mailing Address - Country:US
Mailing Address - Phone:732-890-7869
Mailing Address - Fax:
Practice Address - Street 1:510 8TH AVE
Practice Address - Street 2:
Practice Address - City:BELMAR
Practice Address - State:NJ
Practice Address - Zip Code:07719-2221
Practice Address - Country:US
Practice Address - Phone:732-890-7869
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-03
Last Update Date:2024-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty