Super Kids Speech Therapy and Educational Services
NPI #1932926268 in Bloomfield, New Jersey
Provider Information
- NPI Number
- 1932926268
- Entity Type
- Organization
- Organization Name
- Super Kids Speech Therapy and Educational Services
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- Sep 26, 2024
- Last Updated
- Sep 26, 2024
Practice Location
- Address
- 31 CHESTNUT TER
- City
- Bloomfield
- State
- New Jersey
- ZIP Code
- 07003-4408
- Phone
- (862) 812-1552
Authorized Official
- Name
- KIRA MEDINA TIENCKEN, CCC-SLP
- Title
- OWNER/DIRECTOR OF CLINICAL SRVICES
- Phone
- (862) 812-1552
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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