Individual
MS. SAMANTHA BECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
220 LIVINGSTON ST, SUITE 112, NORTHVALE, NJ 07647-1738
(201) 638-0502
Mailing address
409 TENAKILL DR, NORTHVALE, NJ 07647-1212
(201) 638-0502
Taxonomy
Speciality
Code
Description
License number
State
2355A2700X
Audiology Assistant
Primary
41YS00699400
NJ
Other
Enumeration date
09/21/2012
Last updated
09/21/2012
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