Organization
ENVISION THERAPY PRACTICE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KALANIE VEGA (SPEECH-LANGUAGE PATHOLOGIST/OWNER)
(908) 768-8320
Entity
Organization
Contact information
Practice address
35 WALNUT AVE APT 222, CLARK, NJ 07066-1660
(908) 768-8320
Mailing address
35 WALNUT AVE APT 222, CLARK, NJ 07066-1660
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
—
—
261QH0700X
Hearing and Speech Clinic/Center
Primary
—
—
Other
Enumeration date
07/10/2025
Last updated
07/30/2025
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