Individual
MELINDA S DETTINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
67 HIGBEE AVE, SOMERS POINT, NJ 08244-2323
(609) 204-4849
Mailing address
67 HIGBEE AVE, SOMERS POINT, NJ 08244-2323
(609) 204-4849
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS00427800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
41YS00427800
AUDIO & SPEECH LANGUAGE PATHOLOGY
NJ
Enumeration date
11/11/2009
Last updated
09/15/2014
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