Organization
SUPREME THERAPEUTIC SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WHITNEY SAMUELS M.S CCC-SLP (SPEECH LANGUAGE PATHOLOGIST)
(856) 856-9860
Entity
Organization
Contact information
Practice address
460 GREENTREE RD, SEWELL, NJ 08080-9328
(856) 283-2689
Mailing address
9 BLUE GRASS WAY, GLASSBORO, NJ 08028-2063
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
—
—
Other
Enumeration date
02/29/2024
Last updated
02/29/2024
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