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Organization

SPEECH LANGUAGE PATHOLOGIST

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DIANA J EVANS M.S., CCC-SLP (SPEECH AND LANGUAGE PATHOLOGIST)
(609) 915-7637
Entity
Organization

Contact information

Practice address
111 CAIN CT, BELLE MEAD, NJ 08502-6405
(609) 915-7637
Mailing address
111 CAIN CT, BELLE MEAD, NJ 08502-6405
(609) 915-7637

Taxonomy

Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
41YS00647200
NJ

Other

Enumeration date
09/24/2014
Last updated
09/24/2014
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