Individual
MIA SARAH MARCHISELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
314 CENTRAL AVE, LINWOOD, NJ 08221-2005
(609) 365-8499
Mailing address
16 HEMLOCK DR # DE, BLACKWOOD, NJ 08012-3127
(609) 970-2923
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
14100313
NJ
Other
Enumeration date
07/07/2020
Last updated
07/07/2020
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