Individual
ALEXA JEAN SIBAYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15-01 BROADWAY STE 14C, FAIR LAWN, NJ 07410-6018
(201) 351-1682
Mailing address
145 DOROTHY AVE, EDISON, NJ 08837-3033
(732) 710-6438
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
TL-3284
NJ
Other
Enumeration date
09/09/2019
Last updated
09/09/2019
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