Individual
MRS. ANDREA PANNUCCI-MARVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
10 THOMAS ST, NEW PROVIDENCE, NJ 07974-2246
(908) 464-8225
(908) 464-2325
Mailing address
10 THOMAS ST, NEW PROVIDENCE, NJ 07974-2246
(908) 464-8225
(908) 464-2325
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
008369-1
NY
235Z00000X
Speech-Language Pathologist
Primary
41YS00267400
NJ
Other
Enumeration date
04/07/2009
Last updated
11/30/2015
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