Individual
SAMANTHA ROSZKOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
26 GEORGE ST, BAYONNE, NJ 07002-4222
(201) 823-0992
Mailing address
26 GEORGE ST, BAYONNE, NJ 07002-4222
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
021563-1
NY
235Z00000X
Speech-Language Pathologist
41YS00689800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12152908
ASHA
—
Enumeration date
04/17/2013
Last updated
04/17/2013
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