Individual
KEYSHA DACASIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
6028 BROADWAY, WEST NEW YORK, NJ 07093-2808
(201) 736-7467
Mailing address
161 TERHUNE AVE, JERSEY CITY, NJ 07305-2046
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS00930000
NJ
Other
Enumeration date
07/21/2023
Last updated
07/21/2023
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