Individual
NA HEA AN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
2460 LEMOINE AVE STE 502, FORT LEE, NJ 07024-6210
(201) 419-6114
(201) 419-6114
Mailing address
2460 LEMOINE AVE STE 502, FORT LEE, NJ 07024-6210
(201) 419-6114
(201) 419-6114
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS01348500
NJ
Other
Enumeration date
10/16/2025
Last updated
10/16/2025
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