Individual
MS. BLAIR ALLISON KOCZAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
17 CREST DR, LITTLE SILVER, NJ 07739-1317
(732) 996-6532
Mailing address
17 CREST DR, LITTLE SILVER, NJ 07739-1317
(732) 996-6532
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
41YS005
NJ
235Z00000X
Speech-Language Pathologist
Primary
41YS00563300
NJ
Other
Enumeration date
02/04/2008
Last updated
01/11/2022
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