Provider Demographics
NPI:1427487743
Name:SCHULMAN, RUCHAMA
Entity type:Individual
Prefix:
First Name:RUCHAMA
Middle Name:
Last Name:SCHULMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:RUCHAMA
Other - Middle Name:
Other - Last Name:AVIGDOR
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:27 CALIFORNIA DR
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:NJ
Mailing Address - Zip Code:08527-2141
Mailing Address - Country:US
Mailing Address - Phone:917-826-8404
Mailing Address - Fax:
Practice Address - Street 1:27 CALIFORNIA DR
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:NJ
Practice Address - Zip Code:08527-2141
Practice Address - Country:US
Practice Address - Phone:917-826-8404
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-11-06
Last Update Date:2023-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJTL-2255235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist