Individual
MS. JUSTINE MALLOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
1 PELICAN DR STE 9, BAYVILLE, NJ 08721-1600
(732) 237-8830
(732) 237-8836
Mailing address
1 PELICAN DR STE 9, BAYVILLE, NJ 08721-1600
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS006200
NJ
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
05/24/2011
Last updated
03/07/2019
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