Individual
SHONTAYE GLOVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
289 GORGE RD UNIT 274, CLIFFSIDE PARK, NJ 07010-8011
(551) 358-0381
Mailing address
PO BOX 274, CLIFFSIDE PARK, NJ 07010-0274
(551) 358-0381
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS00448300
NJ
Other
Enumeration date
02/16/2016
Last updated
02/16/2016
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