Individual
MARILYN CERTNER-SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
427 BLOOMFIELD AVE, SUITE 204, MONTCLAIR, NJ 07042-3583
(973) 746-1151
(973) 746-1159
Mailing address
10 NOE AVE, MADISON, NJ 07940-2834
(973) 377-7156
(973) 377-3506
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS00013500
NJ
Other
Enumeration date
05/03/2007
Last updated
07/08/2007
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