Eileen Anne Fasanella

Speech-Language Pathologist · Montclair, NJ

Individual Active NPI

NPI number 1194303073

Practice location

2 Woodmont Rd
Montclair, NJ 07043-2500
Phone
(973) 818-2164

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NPI record

NPI
1194303073
Entity type
Individual (Type 1)
Enumeration date
March 31, 2021
Last updated
March 31, 2021
Certified
March 31, 2021
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Speech-Language Pathologist Primary 235Z00000X 41YS00206300 NJ

About Eileen Fasanella

Eileen Anne Fasanella is a healthcare provider registered in the NPI registry with the primary taxonomy Speech-Language Pathologist (code 235Z00000X). The practice location is 2 Woodmont Rd, Montclair, NJ 07043-2500. The NPI number 1194303073 was assigned on March 31, 2021 and the record was last updated on March 31, 2021.

Eileen Fasanella lists a license in the registry: #41YS00206300 (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 Eileen Anne Fasanella?

The NPI number is 1194303073.

What is the phone number of Eileen Fasanella?

The phone number listed for the practice location is (973) 818-2164.

Where is Eileen Fasanella located?

2 Woodmont Rd, Montclair, NJ 07043-2500.

What is the taxonomy code for Eileen Fasanella?

The primary taxonomy code is 235Z00000X – Speech-Language Pathologist.

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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