Individual
LISA M RUSEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
22 DONALDSON AVE, RUTHERFORD, NJ 07070-2322
(201) 317-3588
Mailing address
22 DONALDSON AVE, RUTHERFORD, NJ 07070-2322
(201) 317-3588
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS00711000
NJ
Other
Enumeration date
01/24/2024
Last updated
01/24/2024
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