Individual
MARISA ELIZABETH BRUNNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
12 BORDEN ROAD, MIDDLETOWN TOWNSHIP, NJ 07748-4100
(914) 557-9554
Mailing address
55 NORTH BRIDGE AVENUE SUITE 5, RED BANK, NJ 07701
(609) 737-3006
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS00701300
NJ
Other
Enumeration date
03/11/2014
Last updated
05/23/2024
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