Individual
MS. JULIA LANUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
213 STATE ST, CHERRY HILL, NJ 08002-2354
(609) 670-3681
Mailing address
213 STATE ST, CHERRY HILL, NJ 08002-2354
(609) 670-3681
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS01036400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14275378
ASHA
—
01
—
41YS01036400
STATE OF NEW JERSEY OFFICE OF THE ATTORNEY GENERAL DIVISION OF CONSUMER AFFAIRS
NJ
Enumeration date
07/21/2020
Last updated
07/21/2020
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