Organization
MIDSTATE THERAPY ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MERRILL SUE STAUBER MACCC-SLP (SPEECH THERAPIST)
(732) 431-5093
Entity
Organization
Contact information
Practice address
219 TAYLOR MILLS RD, MANALAPAN, NJ 07726-3255
(732) 431-5093
(732) 431-5094
Mailing address
219 TAYLOR MILLS RD, MANALAPAN, NJ 07726-3255
(732) 431-5093
(732) 431-5094
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS00180400
NJ
Other
Enumeration date
05/23/2007
Last updated
08/09/2012
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