Individual
EMILY BOLLINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 BETHANY RD STE 60, HAZLET, NJ 07730-1667
(732) 888-3912
Mailing address
1 BETHANY RD STE 60, HAZLET, NJ 07730-1667
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
TL-3365
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1679957997
NPI
NJ
Enumeration date
01/02/2020
Last updated
01/02/2020
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