Individual
SHOSHANA BRODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
21 PLEASANT AVE, PASSAIC, NJ 07055-2450
(973) 472-2216
Mailing address
21 PLEASANT AVE, PASSAIC, NJ 07055-2450
(973) 472-2216
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS00802800
NJ
Other
Enumeration date
09/06/2015
Last updated
09/06/2015
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