Individual
JULIE COSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
500 SOUTHERN BLVD, CHATHAM, NJ 07928-1407
(973) 966-5483
Mailing address
285 ESSEX ST, STIRLING, NJ 07980-1428
(908) 581-2266
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS00662800
NJ
Other
Enumeration date
07/25/2017
Last updated
07/25/2017
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