Individual
MRS. ALLA BRUTTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
555 NORTH AVE APT 5V, FORT LEE, NJ 07024-2409
(201) 461-1255
(201) 461-2705
Mailing address
555 NORTH AVE APT 5V, FORT LEE, NJ 07024-2409
(201) 461-1255
(201) 461-2705
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS00319400
NJ
Other
Enumeration date
03/26/2007
Last updated
07/08/2007
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