Provider Demographics
NPI:1629727524
Name:WAJSBAUM, DEBBY (AUD)
Entity type:Individual
Prefix:MRS
First Name:DEBBY
Middle Name:
Last Name:WAJSBAUM
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:MISS
Other - First Name:DEBBY
Other - Middle Name:
Other - Last Name:WALKIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:15 SAMI DR
Mailing Address - Street 2:
Mailing Address - City:HOWELL
Mailing Address - State:NJ
Mailing Address - Zip Code:07731-2909
Mailing Address - Country:US
Mailing Address - Phone:347-533-0375
Mailing Address - Fax:
Practice Address - Street 1:224 TAYLORS MILLS RD
Practice Address - Street 2:
Practice Address - City:MANALAPAN
Practice Address - State:NJ
Practice Address - Zip Code:07726-3281
Practice Address - Country:US
Practice Address - Phone:732-462-8412
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-20
Last Update Date:2024-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ41YA00131400231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist