Individual
ETKA SCHWARTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17 WATERVIEW DR, LAKEWOOD, NJ 08701-4300
(732) 865-6466
Mailing address
17 WATERVIEW DR, LAKEWOOD, NJ 08701-4300
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
41YS00707700
STATE LICENSE
NJ
Enumeration date
06/04/2017
Last updated
06/04/2017
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