Individual
HAILEE PORRICELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2101 RTE 34, WALL TOWNSHIP, NJ 07719-9172
(732) 659-9536
Mailing address
2101 RTE 34, WALL TOWNSHIP, NJ 07719-9172
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
TL-4093
NJ
Other
Enumeration date
06/05/2023
Last updated
06/05/2023
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