Individual
MS. CASEY LYNN BEVACQUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
1826 WILLOW AVE APT 201, WEEHAWKEN, NJ 07086-6623
(201) 373-6355
Mailing address
1826 WILLOW AVE APT 201, WEEHAWKEN, NJ 07086-6623
(201) 373-6355
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS01096900
NJ
Other
Enumeration date
09/15/2021
Last updated
01/05/2025
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