Organization
ADVANCED SPEECH THERAPY LLC
Active
Other names
Advanced Speech Therapy NC PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GEZIME DJONOVIC MS, CCC-SLP (SPEECH PATHOLOGIST)
(201) 675-3396
Entity
Organization
Contact information
Practice address
59 BEAVERBROOK RD STE 303C, LINCOLN PARK, NJ 07035-1772
(201) 675-3396
Mailing address
59 BEAVERBROOK RD STE 303C, LINCOLN PARK, NJ 07035-1772
(201) 675-3396
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1235543547
NPI
NJ
01
—
1497211403
NPI
NJ
Enumeration date
02/17/2020
Last updated
02/18/2025
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