Individual
LEBA R KATZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1476 TOWERS ST, LAKEWOOD, NJ 08701-5447
(732) 730-1190
Mailing address
9 KEDMA DR, LAKEWOOD, NJ 08701-3599
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS00644600
NJ
Other
Enumeration date
01/23/2012
Last updated
01/23/2012
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