Individual
AVERY INGOLD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
2101 NJ-34 SOUTH, WALL TOWNSHIP, NJ 07719
(732) 659-9536
Mailing address
400 MEREDITH LN, BRICK, NJ 08723-5024
(732) 608-1166
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS01286000
NJ
Other
Enumeration date
09/04/2024
Last updated
09/04/2024
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