Organization
REACH FOR THE STARS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LISA JIANNETTO MA, CCC-SLP (OWNER)
(917) 623-0514
Entity
Organization
Contact information
Practice address
700 GALLOWS HILL RD, CRANFORD, NJ 07016-1613
(917) 623-0514
Mailing address
700 GALLOWS HILL RD, CRANFORD, NJ 07016-1613
(917) 623-0514
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS00594300
NJ
Other
Enumeration date
09/02/2014
Last updated
09/02/2014
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