Individual
KEREN NUSSBAUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
60 GLENWOOD DRIVE S, BERGENFIELD, NJ 07621
(973) 747-2731
Mailing address
60 GLENWOOD DR S, BERGENFIELD, NJ 07621-3343
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
09/11/2017
Last updated
09/11/2017
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