Individual
ALEKSANDRIA LEE IVANITSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
755 MEMORIAL PKWY STE 208, PHILLIPSBURG, NJ 08865-2773
(908) 847-6756
Mailing address
755 MEMORIAL PKWY STE 208, PHILLIPSBURG, NJ 08865-2773
(908) 847-6756
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
TL-4476
NJ
Other
Enumeration date
08/23/2024
Last updated
08/23/2024
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