Organization
NOT JUST SPEECH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTORIA CHRISTODOULOU (BUSINESS MANAGER)
(732) 903-4117
Entity
Organization
Contact information
Practice address
793 TROY CT, BRICK, NJ 08724-1026
(732) 903-4117
Mailing address
793 TROY CT, BRICK, NJ 08724-1026
(732) 903-4117
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
41YS00629400
HORIZON BLUE CROSS BLUE SHIELD OF NJ
NJ
Enumeration date
11/30/2020
Last updated
11/30/2020
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