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Individual

MELBA E RIVERA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
SLP

Contact information

Practice address
200 SOMERSET ST, NEW BRUNSWICK, NJ 08901-1942
(732) 258-7122
Mailing address
41 MARVIN LN, PISCATAWAY, NJ 08854-5667
(787) 406-5359

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
00731
PR
235Z00000X
Speech-Language Pathologist
Primary
41YS00590000
NJ

Other

Enumeration date
05/24/2007
Last updated
02/07/2009
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