Organization
SPEAKING OUT SPEECH AND LANGUAGE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW SHAW MA CCC-SLP (SPEECH-LANGUAGE PATHOLOGIST)
(732) 540-5577
Entity
Organization
Contact information
Practice address
1162 ST. GEORGE'S AVENUE PMB 278, AVENEL, NJ 07001
(732) 540-5577
Mailing address
1162 ST. GEORGE'S AVENUE PMB 278, AVENEL, NJ 07001
(732) 540-5577
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS00819000
NJ
Other
Enumeration date
11/09/2017
Last updated
11/09/2017
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