Provider Demographics
NPI:1033743596
Name:WARCHOL, ISABELLE (SLP)
Entity type:Individual
Prefix:
First Name:ISABELLE
Middle Name:
Last Name:WARCHOL
Suffix:
Gender:
Credentials:SLP
Other - Prefix:
Other - First Name:ISABELLE
Other - Middle Name:
Other - Last Name:FILICIELLO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:SLP
Mailing Address - Street 1:507 REGENCY CT
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07748-5264
Mailing Address - Country:US
Mailing Address - Phone:732-770-1651
Mailing Address - Fax:
Practice Address - Street 1:107B N UNION AVE
Practice Address - Street 2:
Practice Address - City:CRANFORD
Practice Address - State:NJ
Practice Address - Zip Code:07016-2371
Practice Address - Country:US
Practice Address - Phone:908-272-3400
Practice Address - Fax:908-272-3401
Is Sole Proprietor?:No
Enumeration Date:2020-02-24
Last Update Date:2025-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ41YS00966700235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist