Individual
LOIS JEAN WALDMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
363 RIDGEWOOD AVE, GLEN RIDGE, NJ 07028-1512
(973) 223-7761
Mailing address
363 RIDGEWOOD AVE, GLEN RIDGE, NJ 07028-1512
(973) 223-7761
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
003818-1
NY
Other
Enumeration date
12/10/2008
Last updated
12/10/2008
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