Individual
MRS. DEANNA KOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
22 DAFFODIL WAY, OLD BRIDGE, NJ 08857-3592
(908) 720-7121
Mailing address
22 DAFFODIL WAY, OLD BRIDGE, NJ 08857-3592
(908) 720-7121
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
024696
NY
235Z00000X
Speech-Language Pathologist
41YS00811200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04602640
—
NY
Enumeration date
08/31/2015
Last updated
03/26/2023
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