Individual
MYCHELL MALDONADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
33 FILBERT LN, UNION, NJ 07083-6401
(973) 951-1794
Mailing address
33 FILBERT LN, UNION, NJ 07083-6401
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS01039700
NJ
Other
Enumeration date
09/21/2020
Last updated
09/21/2020
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