Individual
ELLEN MARIE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2557 HOOPER AVE, BRICK, NJ 08723-6238
(732) 701-3711
(732) 701-3709
Mailing address
2557 HOOPER AVE, BRICK, NJ 08723-6238
(732) 701-3711
(732) 701-3709
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS00980100
NJ
Other
Enumeration date
05/30/2019
Last updated
05/30/2019
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