Provider Demographics
NPI:1487889184
Name:KATZEN-AKELSON, SHERI (MSCCC)
Entity type:Individual
Prefix:MRS
First Name:SHERI
Middle Name:
Last Name:KATZEN-AKELSON
Suffix:
Gender:F
Credentials:MSCCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 BORDEN PL
Mailing Address - Street 2:
Mailing Address - City:LIVINGSTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07039-2123
Mailing Address - Country:US
Mailing Address - Phone:973-740-0893
Mailing Address - Fax:
Practice Address - Street 1:2 BORDEN PL
Practice Address - Street 2:
Practice Address - City:LIVINGSTON
Practice Address - State:NJ
Practice Address - Zip Code:07039-2123
Practice Address - Country:US
Practice Address - Phone:973-740-0893
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-26
Last Update Date:2009-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY4290235Z00000X
NJ41YS00214100235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist