Individual
AILEEN COLLUCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA CCC-SLP
Contact information
Practice address
60 POMPTON AVE, VERONA, NJ 07044-2946
(973) 768-8982
Mailing address
60 POMPTON AVE, VERONA, NJ 07044-2946
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS00357200
NJ
Other
Enumeration date
08/09/2022
Last updated
08/09/2022
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