Individual
LEYAT MAFOUDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
1487 E TERRACE CIR APT 1, TEANECK, NJ 07666-5220
(818) 644-1384
Mailing address
1487 E TERRACE CIR APT 1, TEANECK, NJ 07666-5220
(818) 644-1384
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS00618800
NJ
Other
Enumeration date
06/20/2015
Last updated
06/20/2015
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