Provider Demographics
NPI:1154190635
Name:WOHLGELERNTER, DEVORA (MS SLP)
Entity type:Individual
Prefix:
First Name:DEVORA
Middle Name:
Last Name:WOHLGELERNTER
Suffix:
Gender:F
Credentials:MS SLP
Other - Prefix:
Other - First Name:DEVORA
Other - Middle Name:
Other - Last Name:MARBURGER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:418 7TH ST APT 3A
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08701-2715
Mailing Address - Country:US
Mailing Address - Phone:848-223-2458
Mailing Address - Fax:
Practice Address - Street 1:418 7TH ST APT 3A
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:08701-2715
Practice Address - Country:US
Practice Address - Phone:848-223-2458
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-27
Last Update Date:2023-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJTL-4040235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist