Provider Demographics
NPI:1053193714
Name:EHRENREICH, ESTHER (MS, SLP)
Entity type:Individual
Prefix:
First Name:ESTHER
Middle Name:
Last Name:EHRENREICH
Suffix:
Gender:F
Credentials:MS, SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:412 MELVILLE AVE
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08701-4870
Mailing Address - Country:US
Mailing Address - Phone:917-687-5562
Mailing Address - Fax:
Practice Address - Street 1:1001 DEAL RD
Practice Address - Street 2:
Practice Address - City:OCEAN
Practice Address - State:NJ
Practice Address - Zip Code:07712-2500
Practice Address - Country:US
Practice Address - Phone:732-493-3670
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-17
Last Update Date:2023-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty