Provider Demographics
NPI:1447647144
Name:CHAYA SORSCHER MS CCC-SLP/A
Entity type:Organization
Organization Name:CHAYA SORSCHER MS CCC-SLP/A
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHAYA
Authorized Official - Middle Name:
Authorized Official - Last Name:SORSCHER-LEVI
Authorized Official - Suffix:
Authorized Official - Credentials:MS CCC-SLP/A
Authorized Official - Phone:973-777-9391
Mailing Address - Street 1:31 REID AVE
Mailing Address - Street 2:
Mailing Address - City:PASSAIC
Mailing Address - State:NJ
Mailing Address - Zip Code:07055-3510
Mailing Address - Country:US
Mailing Address - Phone:973-777-9391
Mailing Address - Fax:
Practice Address - Street 1:31 REID AVE
Practice Address - Street 2:
Practice Address - City:PASSAIC
Practice Address - State:NJ
Practice Address - Zip Code:07055-3510
Practice Address - Country:US
Practice Address - Phone:973-777-9391
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-20
Last Update Date:2015-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ41YB00006100235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty