Individual
MRS. CHANNIE METCHIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. SLP
Contact information
Practice address
1 KATIE CT, LAKEWOOD, NJ 08701-2963
(917) 578-3383
Mailing address
1 KATIE CT, LAKEWOOD, NJ 08701-2963
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS00565900
NJ
Other
Enumeration date
06/03/2013
Last updated
06/03/2013
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