Individual
LAURA COLACICCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A. CCC-SLP
Contact information
Practice address
1 SUMMIT AVE, NEWTON, NJ 07860-1205
(973) 383-1450
Mailing address
9 BIRCH PARKWAY, SPARTA, NJ 07871-1204
(973) 729-6433
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS00177600
NJ
Other
Enumeration date
07/13/2015
Last updated
07/13/2015
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