Provider Demographics
NPI:1154616100
Name:AICHELE, PAULA ANNE (MA CCC-SLP)
Entity type:Individual
Prefix:
First Name:PAULA
Middle Name:ANNE
Last Name:AICHELE
Suffix:
Gender:F
Credentials:MA CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 WEDGEWOOD DR
Mailing Address - Street 2:UNIT #46
Mailing Address - City:VERONA
Mailing Address - State:NJ
Mailing Address - Zip Code:07044-2195
Mailing Address - Country:US
Mailing Address - Phone:908-451-6094
Mailing Address - Fax:
Practice Address - Street 1:30 WEDGEWOOD DR
Practice Address - Street 2:UNIT #46
Practice Address - City:VERONA
Practice Address - State:NJ
Practice Address - Zip Code:07044-2195
Practice Address - Country:US
Practice Address - Phone:908-451-6094
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-17
Last Update Date:2011-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ41YS00452700235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist