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Individual

MS. SONDRA G. LUCENTE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.S.

Contact information

Practice address
22 HELEN WAY, BERKELEY HEIGHTS, NJ 07922-1542
(215) 837-5090
Mailing address
22 HELEN WAY, BERKELEY HEIGHTS, NJ 07922-1542
(215) 837-5090

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
015107-1
NY
235Z00000X
Speech-Language Pathologist
Primary
41YS00528500
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3961769
AETNA HMO
NY
Enumeration date
05/03/2007
Last updated
06/29/2011
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