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Individual

MRS. GOPIKA HAREN SHAH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA-CCC-SLP

Contact information

Practice address
300 EAGLE AVE, PERTH AMBOY, NJ 08861-2711
(732) 376-6030
Mailing address
2710 GREEN HOLLOW DR, ISELIN, NJ 08830-2954
(716) 650-1045

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS00928500
NJ

Other

Enumeration date
03/06/2020
Last updated
03/06/2020
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