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Organization
CB SPEECH THERAPY LLC
Active
Organization
CB SPEECH THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CASEY LYNN BEVACQUA MA, CCC-SLP (OWNER / SPEECH-LANGUAGE PATHOLOGIST)
(201) 373-6355
Entity
Organization
Contact information
Practice address
1826 WILLOW AVE APT 201, WEEHAWKEN, NJ 07086-6623
(201) 373-6355
Mailing address
1826 WILLOW AVE APT 201, WEEHAWKEN, NJ 07086-6623
(201) 373-6355
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
01/06/2025
Last updated
01/06/2025
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