Individual
MS. DIANNE LAZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA CCCSLP COM
Contact information
Practice address
475 OLD MARLTON PIKE W, SUITE 1, MARLTON, NJ 08053-2098
(856) 983-6160
(856) 983-6162
Mailing address
475 OLD MARLTON PIKE, SUITE 1, MARLTON, NJ 08053-3196
(856) 983-6160
(856) 983-6162
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS00164900
NJ
235Z00000X
Speech-Language Pathologist
SL002933L
PA
Other
Enumeration date
10/11/2006
Last updated
07/08/2007
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