Individual
SHELLEY DRISCOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
43 ELIZABETH ST, PEMBERTON, NJ 08068-1232
(609) 316-0195
(609) 353-1549
Mailing address
43 ELIZABETH ST, PEMBERTON, NJ 08068-1232
(609) 316-0195
(609) 353-1549
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS00649200
NJ
Other
Enumeration date
03/05/2018
Last updated
03/17/2018
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