Provider Demographics
NPI:1306439468
Name:LIPKINA, ALINA (MA CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:ALINA
Middle Name:
Last Name:LIPKINA
Suffix:
Gender:F
Credentials:MA CCC-SLP
Other - Prefix:MRS
Other - First Name:ALINA
Other - Middle Name:
Other - Last Name:MAKHINSON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MA CCC-SLP
Mailing Address - Street 1:412 SANDFORD AVE
Mailing Address - Street 2:
Mailing Address - City:WESTFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07090-2731
Mailing Address - Country:US
Mailing Address - Phone:551-482-6843
Mailing Address - Fax:
Practice Address - Street 1:412 SANDFORD AVE
Practice Address - Street 2:
Practice Address - City:WESTFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07090-2731
Practice Address - Country:US
Practice Address - Phone:551-482-6843
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-18
Last Update Date:2021-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ41YS00759900235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist