Individual
MELISSA GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
409 PROSPECT ST, MIDLAND PARK, NJ 07432-1125
(201) 410-1689
Mailing address
409 PROSPECT ST, MIDLAND PARK, NJ 07432-1125
(201) 410-1689
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS01142600
NJ
Other
Enumeration date
07/12/2022
Last updated
06/06/2024
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