Individual
MS. JAN ALLISON FORSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
150 BERGEN STREET, ROOM B239, NEWARK, NJ 07103
(973) 972-3290
Mailing address
150 BERGEN ST, NEWARK, NJ 07103-2496
(973) 972-3290
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS00491800
NJ
Other
Enumeration date
04/24/2007
Last updated
07/08/2007
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