Individual
MRS. RACHELLE STACY KUPERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
57 UNION PL, SUITE 204, SUMMIT, NJ 07901-2568
(973) 202-2919
Mailing address
6 YALE ST, MAPLEWOOD, NJ 07040-2706
(973) 202-2919
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS00661600
NJ
Other
Enumeration date
06/28/2010
Last updated
02/11/2014
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