Individual
MRS. ALYCE M ROUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
158 CLARKEN DR, WEST ORANGE, NJ 07052-3440
(770) 355-0719
Mailing address
158 CLARKEN DR, WEST ORANGE, NJ 07052-5107
(770) 355-0719
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
235Z00000X
Speech-Language Pathologist
Primary
026938
NY
Other
Enumeration date
06/07/2012
Last updated
07/21/2022
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