| Italk Speech & Language Center | |
|
2460 Lemoine Ave Ste 502 Fort Lee NJ 07024-6210 | |
| (201) 419-6114 | |
| Not Available |
| Full Name | Italk Speech & Language Center |
|---|---|
| Speciality | Speech-Language Pathologist |
| Location | 2460 Lemoine Ave Ste 502, Fort Lee, New Jersey |
| Authorized Official Name and Position | Kyung Hae Hwang (CEO) |
| Authorized Official Contact | 2014196114 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Italk Speech & Language Center 2460 Lemoine Ave Ste 502 Fort Lee NJ 07024-6210 Ph: (201) 419-6114 | Italk Speech & Language Center 2460 Lemoine Ave Ste 502 Fort Lee NJ 07024-6210 Ph: (201) 419-6114 |
| NPI Number | 1184089948 |
|---|---|
| Provider Enumeration Date | 12/22/2015 |
| Last Update Date | 09/22/2023 |
| Medicare PECOS PAC ID | 4789983172 |
|---|---|
| Medicare Enrollment ID | O20160506000949 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184089948 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 235Z00000X | Speech-language Pathologist | 41YS00828000 (New Jersey) | Primary |
| Provider Name | Kyung Hae Hwang |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1003168584 PECOS PAC ID: 8628367521 Enrollment ID: I20160518000795 |
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