Individual
BRIDGET LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
45 RIVER DR SO. APT. 2109, JERSEY CITY, NJ 07310
(201) 386-0949
Mailing address
45 RIVER DR S APT 2109, JERSEY CITY, NJ 07310-3725
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS00650100
NJ
Other
Enumeration date
05/06/2011
Last updated
05/06/2011
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