| Brain Life Connection Llc | |
|
4308 Stefanie Dr, Bordentown, NJ 08505 | |
| (508) 296-4301 | |
| Not Available |
| Full Name | Brain Life Connection Llc |
|---|---|
| Type | Facility |
| Speciality | Speech-language Pathologist |
| Location | 4308 Stefanie Dr, Bordentown, New Jersey |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366125254 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Primary |
| Provider Name | Minal Kadam |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1861912594 PECOS PAC ID: 0749636017 Enrollment ID: I20240514002404 |
| Mailing Address | Practice Location Address |
|---|---|
| Brain Life Connection Llc 2360 Route 33, Ste 112 Unit #564, Robbinsville, NJ 08691-1416 Ph: (508) 296-4301 | Brain Life Connection Llc 4308 Stefanie Dr, Bordentown, NJ 08505 Ph: (508) 296-4301 |
Ariana Marie Shanks, MA Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 231 Crosswicks Rd Ste 4, Bordentown, NJ 08505 Phone: 609-372-4613 | |
Elana Lieberman, MA CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 231 Crosswicks Rd, Bordentown, NJ 08505 Phone: 609-372-4613 | |
Mrs. Roberta Schwartz Israelsky, M.A. CCC Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 231 Crosswicks Rd, Suite 4, Bordentown, NJ 08505 Phone: 609-372-4613 | |
Mrs. Erin Goodwin, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 231 Crosswicks Rd, Suite 4, Bordentown, NJ 08505 Phone: 609-372-4613 | |
Taylor Nicole Roberts, MS CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 231 Crosswicks Rd Ste 4, Bordentown, NJ 08505 Phone: 609-372-4613 | |
Mrs. Nicole Edwards, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 231 Crosswicks Rd, Bordentown, NJ 08505 Phone: 609-372-4614 |