Individual
HEATHER THERIAULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
4450 BLACK HORSE PIKE, MAYS LANDING, NJ 08330-3111
(609) 513-9381
Mailing address
4450 BLACK HORSE PIKE, MAYS LANDING, NJ 08330-3111
(609) 513-9381
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
TL-2533
NJ
Other
Enumeration date
05/19/2015
Last updated
06/16/2026
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