Individual
JULIANNA AZZIZZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
70 RIVER RD APT D3, CLIFTON, NJ 07014-2028
(973) 800-5145
Mailing address
70 RIVER RD APT D3, CLIFTON, NJ 07014-2028
(973) 800-5145
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS01064800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14337465
AMERICAN SPEECH-LANGUAGE-HEARING ASSOCIATION (ASHA)
—
01
—
41YS01064800
NEW JERSEY DIVISION OF CONSUMER AFFAIRS
NJ
Enumeration date
02/06/2023
Last updated
02/06/2023
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