Individual
ELISHEVA LAX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
50 BARRY PL, PASSAIC, NJ 07055-3516
(201) 317-5673
Mailing address
95 HIGH ST, PASSAIC, NJ 07055-4751
(201) 317-5673
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS00767500
NJ
Other
Enumeration date
03/17/2021
Last updated
03/17/2021
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