Organization · Type 2 NPI

Mid-Atlantic

Speech-Language Pathologist · Vineland, NJ

NPI number 1295806578 Active

Practice location

760 S Delsea Dr
Vineland, NJ 08360-4464

Mailing address

PO Box 1042
Hammonton, NJ 08037-5042

Specialties and licenses

TaxonomyCodeLicense
Physical Therapist 225100000XNone listed
Ergonomics Physical Therapist 2251E1200XNone listed
Clinical Electrophysiology Physical Therapist 2251E1300XNone listed
Geriatric Physical Therapist 2251G0304XNone listed
Hand Physical Therapist 2251H1200XNone listed
Neurology Physical Therapist 2251N0400XNone listed
Sports Physical Therapist 2251S0007XNone listed
Orthopedic Physical Therapist 2251X0800XNone listed
Physical Therapy Assistant 225200000XNone listed
Occupational Therapist 225X00000XNone listed
Ergonomics Occupational Therapist 225XE1200XNone listed
Hand Occupational Therapist 225XH1200XNone listed
Speech-Language Pathologist Primary 235Z00000XNone listed

Speech-Language Pathologist: The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonan…

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About NPI 1295806578

Mid-Atlantic's National Provider Identifier is 1295806578, issued on Nov 10, 2006. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Vineland, NJ. The record was last updated on Sep 11, 2025.