Individual
MRS. AVIGAYIL WIENER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, SLP-CCC
Contact information
Practice address
10 RYAN RD, EDISON, NJ 08817-2942
(908) 705-2976
Mailing address
10 RYAN RD, EDISON, NJ 08817-2942
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS00826000
NJ
Other
Enumeration date
06/17/2020
Last updated
06/17/2020
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