Individual
CHRISTINA MARIE DECOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
1 MAIN ST STE 505, EATONTOWN, NJ 07724-3903
(732) 493-3100
Mailing address
1 MAIN ST STE 505, EATONTOWN, NJ 07724-3903
(732) 493-3100
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
41YS00927100
NJ
235Z00000X
Speech-Language Pathologist
Primary
SL013748
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
41YS00927100
AUDIOLOGY AND SPEECH-LANGUAGE PATHOLOGY ADVISORY COMMITTEE
NJ
01
—
SL013748
STATE BOARD OF EXAMINERS IN SPEECH-LANGUAGE PATHOLOGY AND AUDIOLOGY
PA
Enumeration date
06/15/2020
Last updated
06/15/2020
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