Individual
REBECCA BAMBERGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
80 HILLSIDE BLVD, LAKEWOOD, NJ 08701-3798
(973) 220-4718
Mailing address
484 SOMERSET AVE, LAKEWOOD, NJ 08701-3602
(973) 220-4718
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
TL-3477
NJ
Other
Enumeration date
10/21/2020
Last updated
10/21/2020
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