Individual
RIVKA DEVORA WEISS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
115 ROSEBANK ST, LAKEWOOD, NJ 08701-2060
(443) 900-0611
Mailing address
115 ROSEBANK ST, LAKEWOOD, NJ 08701-2060
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
09/27/2016
Last updated
09/27/2016
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