Organization
MONICA LASALLE & ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MONICA LASALLE MA CCC/SLP (OWNER)
(609) 435-3067
Entity
Organization
Contact information
Practice address
509 ATLANTIC AVE, NORTH WILDWOOD, NJ 08260-5842
(609) 435-3067
Mailing address
509 ATLANTIC AVE, NORTH WILDWOOD, NJ 08260-5842
(609) 435-3067
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
41YS00331200
STATE LICENSE
NJ
Enumeration date
02/11/2019
Last updated
02/11/2019
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