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Individual

MRS. PATRICIA MARIE BENEDUCCI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA,CCC-SLP

Contact information

Practice address
1515 LAMBERTS MILL RD, WESTFIELD, NJ 07090-4763
(908) 233-9700
Mailing address
1029 RATHBUN AVENUE, STATEN ISLAND, NY 10309
(732) 979-0795

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
020922
NY
235Z00000X
Speech-Language Pathologist
41YS00586800
NJ

Other

Enumeration date
06/23/2009
Last updated
01/24/2013
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