Individual
BRIE TEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
704 HERITAGE RD, CINNAMINSON, NJ 08077-3702
(856) 492-1355
Mailing address
17 W COOPER AVE, MOORESTOWN, NJ 08057-2872
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS00893900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
41YS00893900
NJ DIVISION OF CONSUMER AFFAIRS
NJ
Enumeration date
06/14/2017
Last updated
12/21/2021
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