Provider Demographics
NPI:1306095740
Name:EPSTEIN, RONA G (MA, CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:RONA
Middle Name:G
Last Name:EPSTEIN
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 1:1 BLUE FERN LN
Mailing Address - Street 2:
Mailing Address - City:RANDOLPH
Mailing Address - State:NJ
Mailing Address - Zip Code:07869-3854
Mailing Address - Country:US
Mailing Address - Phone:973-659-0087
Mailing Address - Fax:973-989-5754
Practice Address - Street 1:1 BLUE FERN LN
Practice Address - Street 2:
Practice Address - City:RANDOLPH
Practice Address - State:NJ
Practice Address - Zip Code:07869-3854
Practice Address - Country:US
Practice Address - Phone:973-659-0087
Practice Address - Fax:973-989-5754
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-10
Last Update Date:2008-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ41YS00370300235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist