Organization
SPEECH THERAPY SOURCE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMMAD N ALQUDAH SLP (OWNER)
(201) 543-8524
Entity
Organization
Contact information
Practice address
227 LAKEVIEW AVE, CLIFTON, NJ 07011-4011
(201) 543-8524
(201) 945-4546
Mailing address
227 LAKEVIEW AVE, CLIFTON, NJ 07011-4011
(201) 543-8524
(201) 945-4546
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
—
—
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
09/09/2024
Last updated
09/26/2024
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