Individual
CAMILLE BIVAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2 ARLENE DR, WEST LONG BRANCH, NJ 07764-1002
(732) 856-1508
Mailing address
2 ARLENE DR, WEST LONG BRANCH, NJ 07764-1002
(732) 856-1508
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS01168100
NJ
Other
Enumeration date
03/08/2023
Last updated
03/08/2023
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