Individual
MATTIANA STEPHANIE DI MARTINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
133 BAILEY AVE, HILLSIDE, NJ 07205-1601
(973) 908-8180
Mailing address
854 NORGATE DR, RIDGEWOOD, NJ 07450-2118
(201) 788-1796
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
12/27/2023
Last updated
12/27/2023
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