Organization
SPEECH STARS THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. FRADEL SIMON (OWNER)
(732) 370-7979
Entity
Organization
Contact information
Practice address
801 MADISON AVE, APT A16, LAKEWOOD, NJ 08701-2646
(732) 370-7979
Mailing address
801 MADISON AVE, APT A16, LAKEWOOD, NJ 08701-2646
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS00788900
NJ
Other
Enumeration date
09/16/2015
Last updated
09/16/2015
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