| Mrs Laura Deroche, | |
|
150 New Providence Rd, Mountainside, NJ 07092-2590 | |
| (908) 233-3720 | |
| Not Available |
| Full Name | Mrs Laura Deroche |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 150 New Providence Rd, Mountainside, New Jersey |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134319114 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 41YS00543700 (New Jersey) | Primary |
| Provider Name | Synaptic Rehabilitation Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1518514397 PECOS PAC ID: 3971835968 Enrollment ID: O20191023003632 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Laura Deroche, 23 John Dr, Annandale, NJ 08801-3009 Ph: (973) 752-7772 | Mrs Laura Deroche, 150 New Providence Rd, Mountainside, NJ 07092-2590 Ph: (908) 233-3720 |
Tricia Corey, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 150 New Providence Rd, Mountainside, NJ 07092 Phone: 908-233-3720 Fax: 908-301-5582 | |
Ms. Alison Elizabeth Folliard, MS CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 150 New Providence Rd, Mountainside, NJ 07092 Phone: 908-233-3720 | |
Nichol Frusteri, M.A. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 150 New Providence Rd, Mountainside, NJ 07092 Phone: 908-233-3720 | |
Jessica Cavanagh, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 150 New Providence Rd, Mountainside, NJ 07092 Phone: 908-233-3720 Fax: 908-301-5582 | |
Ms. Stephanie A. Murasso, MS,CCC/SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1216 Wyoming Dr, Mountainside, NJ 07092 Phone: 908-789-3028 | |
Mrs. Rebecca Taylor Miller, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 150 New Providence Rd, Mountainside, NJ 07092 Phone: 908-233-3720 |