Provider Demographics
NPI:1588052781
Name:BARON, NADEGE (CCC-SLP)
Entity type:Individual
Prefix:
First Name:NADEGE
Middle Name:
Last Name:BARON
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 BOBING CT
Mailing Address - Street 2:
Mailing Address - City:SOUTH PLAINFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07080-2801
Mailing Address - Country:US
Mailing Address - Phone:917-648-4565
Mailing Address - Fax:908-822-2078
Practice Address - Street 1:4 BOBING CT
Practice Address - Street 2:
Practice Address - City:SOUTH PLAINFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07080-2801
Practice Address - Country:US
Practice Address - Phone:917-648-4565
Practice Address - Fax:908-822-2078
Is Sole Proprietor?:Yes
Enumeration Date:2014-12-23
Last Update Date:2014-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ41YS00602100235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist