Individual
CHARDONNAY MOULTRIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
537 PAVONIA AVE, JERSEY CITY, NJ 07306-1803
(201) 653-8300
Mailing address
20 WALDO AVE, BLOOMFIELD, NJ 07003-6442
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS01088600
NJ
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
09/15/2020
Last updated
07/22/2026
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