Blair Allison Koczan, MS, CCC-SLP

Speech-Language Pathologist · Little Silver, NJ

Individual Active NPI

NPI number 1114105087

Practice location

17 Crest Dr
Little Silver, NJ 07739-1317
Phone
(732) 996-6532

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NPI record

NPI
1114105087
Entity type
Individual (Type 1)
Enumeration date
February 4, 2008
Last updated
January 11, 2022
Certified
January 11, 2022
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Speech-Language Pathologist Primary 235Z00000X 41YS00563300 NJ
Speech-Language Pathologist 235Z00000X 41YS005 NJ

About Blair Koczan

Blair Allison Koczan, MS, CCC-SLP is a healthcare provider registered in the NPI registry with the primary taxonomy Speech-Language Pathologist (code 235Z00000X). The practice location is 17 Crest Dr, Little Silver, NJ 07739-1317. The NPI number 1114105087 was assigned on February 4, 2008 and the record was last updated on January 11, 2022.

Blair Koczan lists 2 licenses in the registry: #41YS00563300 (NJ) for Speech-Language Pathologist; #41YS005 (NJ) for Speech-Language Pathologist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Blair Allison Koczan, MS, CCC-SLP?

The NPI number is 1114105087.

What is the phone number of Blair Koczan?

The phone number listed for the practice location is (732) 996-6532.

Where is Blair Koczan located?

17 Crest Dr, Little Silver, NJ 07739-1317.

What is the taxonomy code for Blair Koczan?

The primary taxonomy code is 235Z00000X – Speech-Language Pathologist; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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