Organization
DELTA SPEECH THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARIEL DION JOHNSON M.S., CCC-SLP (SPEECH-LANGUAGE PATHOLOGIST)
(551) 225-0413
Entity
Organization
Contact information
Practice address
12 HOLLY ST, JERSEY CITY, NJ 07305-4837
(551) 225-0413
Mailing address
12 HOLLY ST, JERSEY CITY, NJ 07305-4837
(551) 225-0413
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS00760100
NJ
Other
Enumeration date
11/07/2016
Last updated
11/07/2016
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