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Organization

SPEECH ACADEMY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. BETH ANN SHANKS SLP (SPEECH LANGUAGE PATHOLOGIST/OWNER)
(609) 372-4613
Entity
Organization

Contact information

Practice address
231 CROSSWICKS RD, SUITE 4, BORDENTOWN, NJ 08505-2602
(609) 372-4613
(609) 372-4618
Mailing address
231 CROSSWICKS RD, SUITE 4, BORDENTOWN, NJ 08505-2602
(609) 372-4613
(609) 372-4618

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS00015200
NJ

Other

Enumeration date
11/03/2010
Last updated
11/03/2010
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