Individual
MS. ANITA RAYNES LEPELSTAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC/SLP
Contact information
Practice address
96 ENCLAVE BLVD, LAKEWOOD, NJ 08701-5783
(732) 886-3638
Mailing address
96 ENCLAVE BLVD, LAKEWOOD, NJ 08701-5783
(732) 886-3638
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
235Z000000X
NJ
235Z00000X
Speech-Language Pathologist
41YS00165400
NJ
Other
Enumeration date
09/03/2011
Last updated
09/03/2011
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