Organization
RISING WAVES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NIKKI D'AGOSTINO MS CCC-SLP (SPEECH-LANGUAGE PATHOLOGIST)
(609) 389-2756
Entity
Organization
Contact information
Practice address
104 ROCKRIMMON BLVD, BARNEGAT, NJ 08005-1727
(609) 389-2756
Mailing address
104 ROCKRIMMON BLVD, BARNEGAT, NJ 08005-1727
(609) 384-4276
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
07/09/2021
Last updated
07/29/2021
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