Individual
NISHA PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
18 HOOVER AVE, WEST ORANGE, NJ 07052-2319
(732) 668-6317
Mailing address
18 HOOVER AVE, WEST ORANGE, NJ 07052-2319
(732) 668-6317
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS00873500
NJ
235Z00000X
Speech-Language Pathologist
SL013759
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
12/09/2015
Last updated
10/06/2018
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