Individual ProviderStephanie BolinderSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersPractice Address152 Tices Ln, East Brunswick, NJ 08816-2015(732) 609-1100PECOS EnrollmentBased on the most recent information from CMS, provider Stephanie Bolinder 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 ID1710361076Provider TypeIndividualFull NameBolinder, StephanieGenderFemaleSole ProprietorNoEnumeration Date7/16/2015Last Updated3/17/2018Contact InformationPractice LocationPractice Address152 Tices Ln, East Brunswick, NJ 08816-2015Phone(732) 609-1100FaxUnlisted FaxMailing LocationMailing Address152 Tices Ln, East Brunswick, NJ 08816-2015Phone(732) 609-1100FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode235Z00000XPrimaryDescriptionSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersLicense41YS00848600New JerseyCode390200000XDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseTL-2555New Jersey