Individual
BARBARA MARIE SQUILLACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
324 17TH AVE, LAKE COMO, NJ 07719-3036
(201) 575-3171
Mailing address
324 17TH AVE, LAKE COMO, NJ 07719-3036
(201) 575-3171
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS00790000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1174042303
—
NJ
Enumeration date
09/13/2017
Last updated
02/24/2026
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