Individual
MARIEL MATHIESEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
9 HOSPITAL DR STE A20, TOMS RIVER, NJ 08755-6425
(732) 829-3047
Mailing address
492 RENA CT, BRICK, NJ 08724-7150
(609) 738-5305
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS01205400
NJ
Other
Enumeration date
03/05/2024
Last updated
03/05/2024
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