Individual
LISA PEDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
7 SAINT LUKES PL, APT. 102, MONTCLAIR, NJ 07042-2119
(914) 552-0039
Mailing address
7 SAINT LUKES PL, APT. 102, MONTCLAIR, NJ 07042-2119
(914) 552-0039
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS00757000
NJ
Other
Enumeration date
09/21/2015
Last updated
09/21/2015
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