Individual
EILEEN HEAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
300 MARKET ST, SADDLE BROOK, NJ 07663-5309
(201) 368-6074
Mailing address
2280 NASH CT, MAHWAH, NJ 07430-3831
(201) 321-4725
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS00425900
NJ
Other
Enumeration date
08/09/2011
Last updated
08/09/2011
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