Individual
AHUVA KOOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
19 MAJESTIC WAY BSMT, LAKEWOOD, NJ 08701-5017
(848) 224-5620
Mailing address
19 MAJESTIC WAY, LAKEWOOD, NJ 08701-5017
(848) 224-5620
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS01322500
NJ
Other
Enumeration date
04/29/2025
Last updated
04/29/2025
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