Individual
MRS. MIRIAM KOLODNY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
130 LEONARD ST, LAKEWOOD, NJ 08701-2049
(732) 905-0725
(732) 377-5484
Mailing address
1 NEWBERRY CT, LAKEWOOD, NJ 08701-5402
(848) 525-2081
(732) 377-5484
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS00606900
NJ
Other
Enumeration date
11/04/2009
Last updated
11/20/2012
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