Individual
MRS. MARY D'ELIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
3 KINGSTON LANE, SUCCASUNNA, NJ 07876
(973) 219-3212
Mailing address
3 KINGSTON LANE, SUCCASUNNA, NJ 07876
(973) 219-3212
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS003735
NJ
Other
Enumeration date
11/13/2014
Last updated
11/13/2014
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