Organization
SPEECH LANGUAGE LEADERS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEENA M BODENHEIM MS-CCC, SLP (OWNER)
(732) 865-5632
Entity
Organization
Contact information
Practice address
1509 NEWPORT DR, LAKEWOOD, NJ 08701-3918
(732) 865-5632
(732) 905-8212
Mailing address
1509 NEWPORT DR, LAKEWOOD, NJ 08701-3918
(732) 865-5632
(732) 905-8212
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS00527500
NJ
Other
Enumeration date
08/12/2013
Last updated
08/12/2013
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