Organization
DG RELATED SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TARA SHEERIN (EXECUTIVE DIRECTOR)
(732) 533-7088
Entity
Organization
Contact information
Practice address
139 E MCCLELLAN AVE, LIVINGSTON, NJ 07039-1320
(973) 436-0895
Mailing address
139 E MCCLELLAN AVE, LIVINGSTON, NJ 07039-1320
(973) 436-0895
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
09/28/2023
Last updated
09/28/2023
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