Organization
SPEECH & LANGUAGE PALS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN DACO CCC-SLP (MEMBER)
(201) 707-9369
Entity
Organization
Contact information
Practice address
449 BEATRICE ST, TEANECK, NJ 07666-2567
(201) 707-9369
Mailing address
449 BEATRICE ST, TEANECK, NJ 07666-2567
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
261QH0700X
Hearing and Speech Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
41YS00698800
NJ DIVISION OF CONSUMER AFFAIRS
NJ
Enumeration date
12/11/2019
Last updated
12/11/2019
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