Individual
ADINA DIEGELEISEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
129 DOWNING ST, LAKEWOOD, NJ 08701-1457
(732) 367-4614
Mailing address
129 DOWNING ST, LAKEWOOD, NJ 08701-1457
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
019844
NY
Other
Enumeration date
11/30/2010
Last updated
11/30/2010
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