Individual
MRS. MIRIAM GREENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA CCC-SLP
Contact information
Practice address
409 3RD ST, LAKEWOOD, NJ 08701-2547
(732) 901-7760
Mailing address
409 3RD ST, LAKEWOOD, NJ 08701-2547
(732) 901-7760
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
NY
Other
Enumeration date
05/22/2012
Last updated
05/22/2012
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