Individual
MRS. MARISSA TAVERAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
7600 RIVER RD, NORTH BERGEN, NJ 07047-6217
(201) 854-5400
Mailing address
7600 RIVER RD, NORTH BERGEN, NJ 07047-6217
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
TL-2379
NJ
Other
Enumeration date
04/16/2014
Last updated
04/16/2014
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