Individual
SHIFRA MEHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
637 N LAKE DR, LAKEWOOD, NJ 08701-2570
(646) 943-3230
Mailing address
637 N LAKE DR, LAKEWOOD, NJ 08701-2570
(646) 943-3230
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS00733600
NJ
Other
Enumeration date
01/05/2016
Last updated
01/05/2016
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