Individual
MR. AUSTIN DAVID COLLIGNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S. CCC-SLP
Contact information
Practice address
85 LAFAYETTE AVE, WESTWOOD, NJ 07675-5252
(201) 414-7684
Mailing address
85 LAFAYETTE AVE, WESTWOOD, NJ 07675-5252
(201) 414-7684
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS00946400
NJ
Other
Enumeration date
05/06/2018
Last updated
05/06/2018
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