Provider Demographics
NPI:1396266391
Name:FIRST EXPRESSIONS SPEECH AND LANGUAGE THERAPY LLC
Entity type:Organization
Organization Name:FIRST EXPRESSIONS SPEECH AND LANGUAGE THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:M
Authorized Official - Last Name:MULLER
Authorized Official - Suffix:
Authorized Official - Credentials:SLP
Authorized Official - Phone:718-710-6356
Mailing Address - Street 1:1375 RED OAK DR
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08701-3924
Mailing Address - Country:US
Mailing Address - Phone:718-710-6356
Mailing Address - Fax:
Practice Address - Street 1:1375 RED OAK DR
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:08701-3924
Practice Address - Country:US
Practice Address - Phone:718-710-6356
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-29
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty