Individual
MIRA RYU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
168 FRANKLIN CORNER RD UNIT 110, LAWRENCEVILLE, NJ 08648-2725
(609) 299-1279
Mailing address
14 CLEMENTON WAY, LAWRENCEVILLE, NJ 08648-3742
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS01391200
NJ
235Z00000X
Speech-Language Pathologist
Primary
TL-4759
NJ
Other
Enumeration date
01/23/2026
Last updated
06/19/2026
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