Individual ProviderMariah LopezSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersPractice Address579 Cranbury Rd Ste I, East Brunswick, NJ 08816-5405(732) 313-5458(908) 342-9363PECOS EnrollmentBased on the most recent information from CMS, provider Mariah Lopez does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 11:53 AM.Profile DetailsProvider ID1013734250Provider TypeIndividualFull NameLopez, MariahTitleMrs.GenderFemaleSole ProprietorYesEnumeration Date9/19/2024Last Updated9/19/2024Contact InformationPractice LocationPractice Address579 Cranbury Rd Ste I, East Brunswick, NJ 08816-5405Phone(732) 313-5458FaxUnlisted FaxMailing LocationMailing Address27 Bartha Ave, Edison, NJ 08817-2439Phone(908) 342-9363FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode235Z00000XPrimaryDescriptionSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersLicenseTL-4590New Jersey