Individual
MISS STEPHANIE M DA COSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
15 MICROLAB RD, LIVINGSTON, NJ 07039-1623
(973) 992-8181
Mailing address
1000 CENTRAL AVE APT 121B, WESTFIELD, NJ 07090-5601
(973) 432-1802
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS01140500
NJ
Other
Enumeration date
03/06/2024
Last updated
03/06/2024
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