Individual
MIRIAM ROSENBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
1500 AVENUE OF THE STATES, LAKEWOOD, NJ 08701-4789
(732) 961-7413
Mailing address
14 INDEPENDENCE CT, LAKEWOOD, NJ 08701-4158
(443) 635-1366
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS01289500
NJ
Other
Enumeration date
10/10/2024
Last updated
10/10/2024
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