Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Eileen Anne Fasanella

Individual provider Speech-Language Pathologist · NPI 1194303073

Eileen Anne Fasanella is a Speech-Language Pathologist in Montclair, New Jersey. Practices as a sole proprietor. Licensed in New Jersey.

Licensed in
NJ
In the registry since
2021

Practice location Address checks out

2 Woodmont Rd
Montclair, NJ 07043-2500
Phone: (973) 818-2164
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 41YS00206300 (NJ)

Record details

NPI number1194303073
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 31, 2021
Last updated in NPPESMarch 31, 2021
Certification dateMarch 31, 2021

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