Individual
RACHEL MICHAL FISHMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS-CCC-SLP
Contact information
Practice address
15 PONDEROSA DR, LAKEWOOD, NJ 08701-5151
(732) 370-8228
Mailing address
15 PONDEROSA DR, LAKEWOOD, NJ 08701-5151
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS00549500
NJ
Other
Enumeration date
06/28/2017
Last updated
06/28/2017
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