Individual
CAROLYN MINDY BECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
1165 ROBIN DR, LAKEWOOD, NJ 08701-3069
(732) 886-3212
(732) 886-3212
Mailing address
1165 ROBIN DR, LAKEWOOD, NJ 08701-3069
(732) 886-3212
(732) 886-3212
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS00787700
NJ
Other
Enumeration date
01/25/2016
Last updated
01/25/2016
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