Individual
JANICE DITTELMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MASTER OF SCIENCE
Contact information
Practice address
1515 BROAD ST, BLOOMFIELD, NJ 07003-3002
(973) 655-7752
Mailing address
440 VICTOR WAY, WYCKOFF, NJ 07481-1807
(201) 560-1235
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS00403600
NJ
Other
Enumeration date
01/23/2018
Last updated
01/23/2018
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