Provider Demographics
NPI:1366435489
Name:KIRSH, SHIRA (MS CCC SLP)
Entity type:Individual
Prefix:MRS
First Name:SHIRA
Middle Name:
Last Name:KIRSH
Suffix:
Gender:F
Credentials:MS CCC SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4691 ROUTE 9 N
Mailing Address - Street 2:
Mailing Address - City:HOWELL
Mailing Address - State:NJ
Mailing Address - Zip Code:07731-3384
Mailing Address - Country:US
Mailing Address - Phone:732-942-7220
Mailing Address - Fax:732-942-7225
Practice Address - Street 1:4691 ROUTE 9 N
Practice Address - Street 2:
Practice Address - City:HOWELL
Practice Address - State:NJ
Practice Address - Zip Code:07731-3384
Practice Address - Country:US
Practice Address - Phone:732-942-7220
Practice Address - Fax:732-942-7225
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-24
Last Update Date:2025-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ41Y500198700235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist