Provider Demographics
NPI:1689864282
Name:LINDNER, JOSEPH RUBEN (MA,CCC-SLP)
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:RUBEN
Last Name:LINDNER
Suffix:
Gender:M
Credentials:MA,CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 MAPLEWOOD TER
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08701
Mailing Address - Country:US
Mailing Address - Phone:732-905-0190
Mailing Address - Fax:732-905-0190
Practice Address - Street 1:14 MAPLEWOOD TER
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:08701-3091
Practice Address - Country:US
Practice Address - Phone:732-905-0190
Practice Address - Fax:732-905-0190
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-30
Last Update Date:2007-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ41YS00510100235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist