Individual
MYNDA D'ANDREA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
21 LAKESIDE AVE UNIT 412, POMPTON LAKES, NJ 07442-1648
(973) 329-9669
Mailing address
300 MAIN ST STE 21, MADISON, NJ 07940-2369
(973) 329-9669
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
02/28/2023
Last updated
02/28/2023
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