Individual
LORI MELISSA SIMEONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
2-12 CORBETT WAY STE 203, EATONTOWN, NJ 07724-4251
(732) 544-1300
Mailing address
51 FORMAN ST, FAIR HAVEN, NJ 07704-3239
(732) 580-2773
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS00474500
NJ
Other
Enumeration date
10/21/2021
Last updated
10/21/2021
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