Provider Demographics
NPI:1992071260
Name:HERSH, NECHAMA
Entity type:Individual
Prefix:
First Name:NECHAMA
Middle Name:
Last Name:HERSH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:NECHAMA
Other - Middle Name:
Other - Last Name:REINMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2-16 17TH ST
Mailing Address - Street 2:
Mailing Address - City:FAIR LAWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07410-2009
Mailing Address - Country:US
Mailing Address - Phone:347-927-9444
Mailing Address - Fax:
Practice Address - Street 1:2-16 17TH ST
Practice Address - Street 2:
Practice Address - City:FAIR LAWN
Practice Address - State:NJ
Practice Address - Zip Code:07410-2009
Practice Address - Country:US
Practice Address - Phone:347-927-9444
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-03-30
Last Update Date:2023-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY021727-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist