| Wave Makers Pediatric Therapy Services Llc | |
|
4450 Black Horse Pike Mays Landing NJ 08330-3111 | |
| (609) 513-9381 | |
| Not Available |
| Full Name | Wave Makers Pediatric Therapy Services Llc |
|---|---|
| Speciality | Speech-language Pathologist |
| Location | 4450 Black Horse Pike, Mays Landing, New Jersey |
| Authorized Official Name and Position | Heather M Theriault (SPEECH LANGUAGE PATHOLOGIST) |
| Authorized Official Contact | 6095139381 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wave Makers Pediatric Therapy Services Llc 12 Henry Rd Marmora NJ 08223-1573 Ph: (609) 513-9381 | Wave Makers Pediatric Therapy Services Llc 4450 Black Horse Pike Mays Landing NJ 08330-3111 Ph: (609) 513-9381 |
| NPI Number | 1164357638 |
|---|---|
| Provider Enumeration Date | 06/16/2026 |
| Last Update Date | 06/16/2026 |
| Certification Date | 06/16/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164357638 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Secondary |
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Primary |
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