Individual
POOJA SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
150 FLANAGAN WAY, SECAUCUS, NJ 07094-3445
(201) 578-1999
Mailing address
150 FLANAGAN WAY, SECAUCUS, NJ 07094-3445
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS01060900
NJ
235Z00000X
Speech-Language Pathologist
SL015518
PA
235Z00000X
Speech-Language Pathologist
SLP15575
AZ
Other
Enumeration date
09/29/2021
Last updated
08/19/2024
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