Individual
STEPHANIE HEATH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
326 HOWARD AVE, FAIR LAWN, NJ 07410-3537
(845) 661-0668
Mailing address
326 HOWARD AVE, FAIR LAWN, NJ 07410-3537
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS00912200
NJ
Other
Enumeration date
01/02/2017
Last updated
10/11/2018
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