Individual
MALVINA GRANOVSKAYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
600 ROUTE 73 N, SUITE 9B, MARLTON, NJ 08053-1603
(856) 983-3390
Mailing address
600 ROUTE 73 N, SUITE 9B, MARLTON, NJ 08053-1603
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
020052-1
NY
235Z00000X
Speech-Language Pathologist
Primary
41YS00634400
NJ
Other
Enumeration date
09/24/2010
Last updated
09/24/2010
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