Individual
SHIRA ELISHEVA NIERENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC SLP
Contact information
Practice address
115 ASHLEY AVE, LAKEWOOD, NJ 08701
(848) 240-7940
Mailing address
115 ASHLEY AVE, LAKEWOOD, NJ 08701-4212
(848) 240-7940
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
08/30/2017
Last updated
07/21/2022
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