Individual
BRACHA SKAIST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
90 PONDEROSA DR, LAKEWOOD, NJ 08701-5153
(732) 237-6479
Mailing address
90 PONDEROSA DR, LAKEWOOD, NJ 08701-5153
(732) 237-6479
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
06/10/2016
Last updated
05/01/2017
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