Organization
RAINTREE SPEECH CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. YEHUDIS GOLDBERG (MANAGER)
(732) 364-1534
Entity
Organization
Contact information
Practice address
1388 PASADENA ST, LAKEWOOD, NJ 08701-3921
(732) 364-1534
Mailing address
1388 PASADENA ST, LAKEWOOD, NJ 08701-3921
(732) 364-1534
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS00572900
NJ
Other
Enumeration date
06/19/2018
Last updated
06/19/2018
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