Individual
MARINA VERTLEYB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
700-76 BROADWAY, SUITE 115, WESTWOOD, NJ 07675-2921
(917) 373-9519
Mailing address
700-76 BROADWAY, SUITE 115, WESTWOOD, NJ 07675-2921
(917) 373-9519
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS00441100
NJ
Other
Enumeration date
04/21/2016
Last updated
08/22/2016
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