Organization
RIVERSIDE SPEECH THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TARA MCDONALD (OWNER)
(201) 362-6141
Entity
Organization
Contact information
Practice address
19 HOLLY ST, CRANFORD, NJ 07016-2158
(201) 362-6141
Mailing address
11 HOLLY ST, CRANFORD, NJ 07016-2123
(908) 276-2545
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
—
—
Other
Enumeration date
07/11/2019
Last updated
07/11/2019
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