Individual
JULIE PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
80 MAIN ST, WEST ORANGE, NJ 07052-5460
(800) 400-0981
Mailing address
50 REGENT ST APT 317, JERSEY CITY, NJ 07302-6260
(973) 618-6301
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS00806300
NJ
Other
Enumeration date
07/23/2013
Last updated
01/14/2019
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