Individual
MRS. DANIELLE BUSCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
5 TROJAN AVE, PARSIPPANY, NJ 07054-4851
(973) 224-9387
Mailing address
5 TROJAN AVE, PARSIPPANY, NJ 07054-4851
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS00900100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14276276
ASHA CERTIFICATION
NJ
01
—
41YS00900100
NJ STATE LICENSE
NJ
Enumeration date
09/01/2021
Last updated
09/01/2021
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