Individual
DEBORAH IDA ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA CCC-SLP
Contact information
Practice address
16 TILGHMAN DR, GLEN ROCK, NJ 07452-3112
(551) 206-1808
Mailing address
16 TILGHMAN DR, GLEN ROCK, NJ 07452-3112
(551) 206-1808
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS00195100
NJ
Other
Enumeration date
07/09/2008
Last updated
07/09/2008
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