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Organization
SUBURBAN SPEECH CENTER
Active
Organization
SUBURBAN SPEECH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NANCY POLOW PH.D. (DIRECTOR)
(973) 921-1400
Entity
Organization
Contact information
Practice address
748 MORRIS TPKE, SHORT HILLS, NJ 07078-2623
(973) 921-1400
(973) 921-0459
Mailing address
748 MORRIS TURNPIKE, SHORT HILLS, NJ 07078
(973) 921-1400
(973) 921-0459
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS00007400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
41YS00007400
LICENSED SPEECH-LANGUAGE PATHOLOGIST
NJ
Enumeration date
08/31/2016
Last updated
08/31/2016
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