Organization
MSU CENTER FOR AUDIOLOGY AND SPEECH LANGUAGE PATHOLOGY
Active
Parent organization
MONTCLAIR STATE UNIVERSITY
Organization subpart
Yes
Provider details
NPI number
Legal business name
MONTCLAIR STATE UNIVERSITY
Authorized official
MS. DONNA MCMONAGLE (VICE PRESIDENT FOR FINANCE AND TREA)
(973) 655-5105
Entity
Organization
Contact information
Practice address
MSU CENTER FOR AUDIOLOGY AND SPEECH LANGUAGE PATHOLOGY, 1515 BROAD STREET, BLOOMFIELD, NJ 07003
(973) 655-3934
(973) 655-7752
Mailing address
MSU CENTER FOR AUDIOLOGY AND SPEECH LANGUAGE PATHOLOGY, 1515 BROAD STREET, BLOOMFIELD, NJ 07003
(973) 655-3934
(973) 655-7752
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
04/01/2008
Last updated
06/11/2020
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