Individual
DENISE YEATMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.,CCC-SLP
Contact information
Practice address
1501 HAMBURG TPKE STE 305, WAYNE, NJ 07470-4081
(973) 832-2766
Mailing address
2 GOLDFINCH RUN, KINNELON, NJ 07405-3000
(201) 919-4441
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS00465200
NJ
Other
Enumeration date
08/21/2019
Last updated
08/21/2019
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