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Individual

MS. LISA BETH LANDSKRONER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.S. CCC-SLP

Contact information

Practice address
400 FORDHAM PL, FREEHOLD, NJ 07728-5369
(732) 598-9186
(732) 303-1017
Mailing address
400 FORDHAM PL, FREEHOLD, NJ 07728-5369
(732) 598-9186
(732) 303-1017

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
014964-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03669087
NY
Enumeration date
10/29/2008
Last updated
05/06/2019
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