Organization
SPEAK UP FT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRAYDA WAXMAN (OWNER)
(732) 370-7885
Entity
Organization
Contact information
Practice address
295 DEWEY AVE, LAKEWOOD, NJ 08701-3567
(732) 370-7885
Mailing address
295 DEWEY AVE, LAKEWOOD, NJ 08701-3567
(732) 370-7885
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
04/08/2021
Last updated
04/08/2021
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