Individual
JUDITH SHAPANKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
14 BRIDGEWATERS DR STE A, OCEANPORT, NJ 07757-1184
(732) 280-6050
Mailing address
16 COUNTRY SQUIRE LN, HOLMDEL, NJ 07733-2368
(732) 539-8513
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS0080100
NJ
Other
Enumeration date
09/29/2013
Last updated
09/29/2013
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