Individual
SOPHIA PERROTHERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.ED., CCC-SLP
Contact information
Practice address
15 FRANKLIN ST STE D, TENAFLY, NJ 07670-2146
(892) 620-1525
Mailing address
71 FAIRFIELD AVE, WEST CALDWELL, NJ 07006-7603
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS01232600
NJ
Other
Enumeration date
02/20/2024
Last updated
02/20/2024
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