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Individual

SHARA HOLZBERG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS,CCC-SLP

Contact information

Practice address
55 MEADOWLANDS PKWY, MHMC; DEPARTMENT OF NCR - 2ND FLOOR, SECAUCUS, NJ 07094-2977
(201) 392-3100
(201) 271-3688
Mailing address
55 MEADOWLANDS PKWY, MHMC; DEPARTMENT OF NCR - 2ND FLOOR, SECAUCUS, NJ 07094-2977
(201) 392-3100
(201) 271-3688

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
02188
NY
235Z00000X
Speech-Language Pathologist
Primary
41YS665600
NJ

Other

Enumeration date
11/30/2012
Last updated
11/30/2012
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