Provider Demographics
NPI:1144017567
Name:TAMBIS TE, JADE LYNN (MS,CCC-SLP)
Entity type:Individual
Prefix:
First Name:JADE
Middle Name:LYNN
Last Name:TAMBIS TE
Suffix:
Gender:F
Credentials:MS,CCC-SLP
Other - Prefix:
Other - First Name:JADE
Other - Middle Name:LYNN
Other - Last Name:GALLUCCI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4 VINCENT CT
Mailing Address - Street 2:
Mailing Address - City:EAST BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08816-4426
Mailing Address - Country:US
Mailing Address - Phone:732-887-4628
Mailing Address - Fax:
Practice Address - Street 1:4 VINCENT CT
Practice Address - Street 2:
Practice Address - City:EAST BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08816-4426
Practice Address - Country:US
Practice Address - Phone:732-887-4628
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-21
Last Update Date:2025-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ41YS01123000235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist