Organization
PREMIER SPEECH AND LANGUAGE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHIFRA MEHL M.A. CCC-SLP (CO-OWNER AND DIRECTOR)
(732) 744-4800
Entity
Organization
Contact information
Practice address
28 ROOSEVELT AVE, LAKEWOOD, NJ 08701-5654
(732) 744-4800
Mailing address
28 ROOSEVELT AVE, LAKEWOOD, NJ 08701-5654
(732) 744-4800
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
01/05/2016
Last updated
01/05/2016
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