Individual
DR. JOANNE CHRISTODOULOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
793 TROY CT, BRICK, NJ 08724-1026
(732) 903-4117
Mailing address
793 TROY CT, BRICK, NJ 08724-1026
(732) 546-4073
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS00629400
NJ
235Z00000X
Speech-Language Pathologist
58025107
NY
Other
Enumeration date
08/25/2018
Last updated
08/25/2018
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