Individual
EMILY FACCHINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
115 SUNSET RD, BURLINGTON, NJ 08016-4153
(609) 387-3620
Mailing address
130 ORIENT WAY APT 4E, RUTHERFORD, NJ 07070-2164
(201) 663-1481
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
TL-3139
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/23/2018
Last updated
09/13/2018
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