Kira Enid Medina-tiencken, MS, CCC-SLP - Speech-Language Pathologist in Bloomfield, NJ

Kira Enid Medina-tiencken, MS, CCC-SLP is a Speech-language Pathologist based in Bloomfield, New Jersey. Kira Enid Medina-tiencken is licensed to practice in New Jersey (license number 41YS00796200) and her current practice location is 31 Chestnut Ter, Bloomfield, New Jersey. She can be reached at her office (for appointments etc.) via phone at (862) 812-1552.

NPI number for Kira Enid Medina-tiencken is 1336631902 and her current mailing address is 31 Chestnut Ter, Bloomfield, New Jersey. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1336631902.

Contact Information

Kira Enid Medina-tiencken, MS, CCC-SLP
31 Chestnut Ter,
Bloomfield, NJ 07003-4408
(862) 812-1552
Not Available



Healthcare Provider's Profile

Full NameKira Enid Medina-tiencken
GenderFemale
SpecialitySpeech-language Pathologist
Location31 Chestnut Ter, Bloomfield, New Jersey
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1336631902
  • Provider Enumeration Date: 05/30/2018
  • Last Update Date: 05/30/2018

Medical Identifiers

Medical identifiers for Kira Enid Medina-tiencken such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1336631902NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
235Z00000XSpeech-language Pathologist 41YS00796200 (New Jersey)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kira Enid Medina-tiencken is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kira Enid Medina-tiencken, MS, CCC-SLP
31 Chestnut Ter,
Bloomfield, NJ 07003-4408

Ph: (862) 812-1552
Kira Enid Medina-tiencken, MS, CCC-SLP
31 Chestnut Ter,
Bloomfield, NJ 07003-4408

Ph: (862) 812-1552

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› Verified 8 days ago


Speech-Language Pathologist in Bloomfield, NJ

Speech Genie Therapeutic Services
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 590 Bloomfield Ave Ste 376, Bloomfield, NJ 07003
Phone: 973-826-0595    
Tanvi Amin,
Speech-Language Pathologist
Medicare: Accepting Medicare Assignments
Practice Location: 20 Alexander Ave, Bloomfield, NJ 07003
Phone: 646-300-5689    
Jane E. Hodges,
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 40 Conger St Apt 1512b, Bloomfield, NJ 07003
Phone: 973-412-5313    
Miss Brittney Emaan Georges, M.A. CCC-SLP
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 125 Belleville Ave, Bloomfield, NJ 07003
Phone: 973-943-6862    
Cynthia Soder Harven, MA,CCC/SLP,ATS
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 51 Ernst Ave, Bloomfield, NJ 07003
Phone: 201-563-5891    Fax: 201-563-5891
Tonilynn Paccione, MA, CCC-SLP
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 1515 Broad Street, Bloomfield, NJ 07003
Phone: 973-900-3553    
Ms. Kristin Mchugh, M.S., CCC/SLP
Speech-Language Pathologist
Medicare: Accepting Medicare Assignments
Practice Location: 38 Yantecaw Ave, Bloomfield, NJ 07003
Phone: 973-893-0193    

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