Individual
MRS. MEGAN A FAJARDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
49 HUNTERDON BLVD, NEW PROVIDENCE, NJ 07974-2768
(908) 464-0764
Mailing address
49 HUNTERDON BLVD, NEW PROVIDENCE, NJ 07974-2768
(908) 464-0764
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS00314700
NJ
Other
Enumeration date
09/17/2010
Last updated
09/17/2010
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