Provider Demographics
NPI:1942915301
Name:YUROWITZ, LEAH (SLP CCC)
Entity type:Individual
Prefix:MRS
First Name:LEAH
Middle Name:
Last Name:YUROWITZ
Suffix:
Gender:F
Credentials:SLP CCC
Other - Prefix:MRS
Other - First Name:LEAH
Other - Middle Name:
Other - Last Name:MULLER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:6A EAGLE LN
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08701-4964
Mailing Address - Country:US
Mailing Address - Phone:917-886-4320
Mailing Address - Fax:
Practice Address - Street 1:1 POPLAR PL
Practice Address - Street 2:
Practice Address - City:OCEAN
Practice Address - State:NJ
Practice Address - Zip Code:07712-2854
Practice Address - Country:US
Practice Address - Phone:732-493-3670
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-20
Last Update Date:2023-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ41YS01181600235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist