Individual
GEORGIANNA EMILY GENTILE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
1064 S MAIN ST BLDG 2C, WEST CREEK, NJ 08092-2914
(609) 488-2650
Mailing address
1064 S MAIN ST BLDG 2C, WEST CREEK, NJ 08092-2914
(609) 488-2650
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
TL-4747
NJ
Other
Enumeration date
06/03/2025
Last updated
06/03/2025
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