Organization
PEDIATRIC SPEECH-LANGUAGE SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JACQUELINE SHANKLE (DIRECTOR)
(908) 232-5501
Entity
Organization
Contact information
Practice address
547 E BROAD ST, WESTFIELD, NJ 07090-2107
(908) 232-5501
Mailing address
547 E BROAD ST, WESTFIELD, NJ 07090-2107
(908) 232-5501
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
41YS00421900
NJ
Other
Enumeration date
05/17/2011
Last updated
05/17/2011
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