Individual
EILEEN MOSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
899 MOUNTAIN AVE, SPRINGFIELD, NJ 07081-3455
(973) 218-6394
Mailing address
46 WASHINGTON AVE, SPRINGFIELD, NJ 07081-1918
(973) 258-9218
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS00399300
NJ
Other
Enumeration date
09/28/2020
Last updated
09/28/2020
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