Individual
MS. MONICA THERESE LA SALLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA CCC SLP
Contact information
Practice address
509 ATLANTIC AVE, NORTH WILDWOOD, NJ 08260-5842
(215) 694-0689
(215) 632-7406
Mailing address
509 ATLANTIC AVE, NORTH WILDWOOD, NJ 08260-5842
(609) 435-3067
(609) 854-3190
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL004452L
PA
Other
Enumeration date
05/04/2007
Last updated
10/21/2021
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