Organization
SPEAKEASY SPEECH-LANGUAGE THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TANIA DOMINGUES MA (SPEECH-LANGUAGE PATHOLOGIST/OWNER)
(732) 585-2728
Entity
Organization
Contact information
Practice address
2 BRIER HILL COURT, SUITE 210, BUILDING C, EAST BRUNSWICK, NJ 08816
(732) 585-2728
Mailing address
2 BRIER HILL COURT, SUITE 210, BUILDING C, EAST BRUNSWICK, NJ 08816
(732) 585-2728
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
06/26/2020
Last updated
06/26/2020
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