Organization
GIFT OF THE GAB THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YEHUDIS BROWN MS CCC-SLP (MEMBER)
(908) 692-6726
Entity
Organization
Contact information
Practice address
140 REGENT DR, LAKEWOOD, NJ 08701-3026
(908) 692-6726
(732) 399-9360
Mailing address
140 REGENT DR, LAKEWOOD, NJ 08701-3026
(908) 692-6726
(732) 399-9360
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1881992766
NPI
NJ
01
—
1881992766
NPI
—
Enumeration date
10/25/2018
Last updated
10/25/2018
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