Individual
MS. ELIZABETH STICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
29-01 BERKSHIRE RD, FAIR LAWN, NJ 07410-3717
(201) 797-7440
Mailing address
965 JUNIPER WAY, MAHWAH, NJ 07430-3470
(201) 739-4143
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS00811600
NJ
Other
Enumeration date
07/25/2014
Last updated
12/30/2019
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