Individual
MRS. COURTNEY TACINELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
111 GALWAY PL, TEANECK, NJ 07666-3640
(201) 837-8371
Mailing address
244 WINDSOR RD, WOOD RIDGE, NJ 07075-1116
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS00525100
NJ
Other
Enumeration date
08/24/2023
Last updated
08/24/2023
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