Organization
CREATIVE CONNECTIONS SPEECH THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAUREN FOGARTY (OWNER)
(914) 407-4469
Entity
Organization
Contact information
Practice address
111 TOWN SQUARE PL STE 1238, JERSEY CITY, NJ 07310-1810
(914) 407-4469
Mailing address
20 CHURCH RD APT 8P, MAPLE SHADE, NJ 08052-3104
(848) 220-4976
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
07/24/2023
Last updated
07/24/2023
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