Organization
MERIDIAN THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SIMCHA SZENDRO (OWNER)
(732) 668-8442
Entity
Organization
Contact information
Practice address
418 CLIFTON AVE, LAKEWOOD, NJ 08701-3295
(732) 668-8442
Mailing address
1820 SWARTHMORE AVE UNIT 1533, LAKEWOOD, NJ 08701-8458
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
02/10/2020
Last updated
02/10/2020
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