Individual
FANI F BERTOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
945 RIVER AVE STE 201, LAKEWOOD, NJ 08701-5675
(732) 833-3723
(888) 247-4390
Mailing address
321 NORTH AVE E UNIT 125, CRANFORD, NJ 07016-2468
(609) 471-3747
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS01010600
NJ
Other
Enumeration date
03/10/2020
Last updated
03/10/2020
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