Individual
STACY SHANSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
63 JOYCE LN, WAYNE, NJ 07470-3647
(201) 835-4630
Mailing address
63 JOYCE LN, WAYNE, NJ 07470-3647
(201) 835-4630
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS00505400
NJ
Other
Enumeration date
01/19/2015
Last updated
01/19/2015
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