Individual
DIANA AIDA SCALICI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
120 COUNTY RD STE 101, TENAFLY, NJ 07670-1854
(201) 894-5800
Mailing address
407 MEMORIAL PKWY, BLOOMFIELD, NJ 07003-4266
(908) 907-1940
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS00904000
NJ
Other
Enumeration date
02/28/2019
Last updated
02/28/2019
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