Provider Demographics
NPI:1215256490
Name:FEIERSTEIN, CYNTHIA ELIZABETH (MA, CCC-SLP)
Entity type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:ELIZABETH
Last Name:FEIERSTEIN
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:CYNTHIA
Other - Middle Name:ELIZABETH
Other - Last Name:KOSZKULICS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, CCC-SLP
Mailing Address - Street 1:99 SWING BRIDGE LN
Mailing Address - Street 2:
Mailing Address - City:SOUTH BOUND BROOK
Mailing Address - State:NJ
Mailing Address - Zip Code:08880-1492
Mailing Address - Country:US
Mailing Address - Phone:732-266-6941
Mailing Address - Fax:
Practice Address - Street 1:99 SWING BRIDGE LN
Practice Address - Street 2:
Practice Address - City:SOUTH BOUND BROOK
Practice Address - State:NJ
Practice Address - Zip Code:08880-1492
Practice Address - Country:US
Practice Address - Phone:732-266-6941
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-05-26
Last Update Date:2010-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ41YS00309800235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist