Individual
ELIZABETH HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
255 E MAIN ST, #301, MOORESTOWN, NJ 08057-2982
(856) 235-1214
Mailing address
590 N ATLANTIC AVE, #301, COLLINGSWOOD, NJ 08108-3425
(856) 669-7453
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS00603200
NJ
Other
Enumeration date
05/12/2014
Last updated
05/12/2014
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