Mrs Laura Deroche, | |
150 New Providence Rd, Mountainside, NJ 07092-2590 | |
(908) 233-3720 | |
Not Available |
Full Name | Mrs Laura Deroche |
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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 |
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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 |