Individual
MRS. BARBARA P NEITHARDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
522 N MAPLE AVE, A8, RIDGEWOOD, NJ 07450-1645
(914) 320-6511
Mailing address
522 N MAPLE AVE, A8, RIDGEWOOD, NJ 07450-1645
(914) 320-6511
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
014563-1
NY
235Z00000X
Speech-Language Pathologist
41YS00456800
NJ
Other
Enumeration date
11/03/2008
Last updated
11/03/2008
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