Organization
LG SPEECH THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH GAVIN MS CCC SLP TSSLD (OWNER)
(901) 286-3234
Entity
Organization
Contact information
Practice address
1450 GARDEN ST APT S603, HOBOKEN, NJ 07030-4680
(901) 286-3234
Mailing address
1450 GARDEN ST APT S603, HOBOKEN, NJ 07030-4680
(901) 286-3234
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
08/31/2020
Last updated
08/31/2020
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